Patient Transition Coordinator
Company: Compassus
Location: Lima
Posted on: April 1, 2026
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Job Description:
Company: Mercy Health Home Care and Hospice by Compassus
Position Summary Remote role - prefer someone that is local.
Schedule is Monday - Friday 8-4:30pm. Must be LPN or RN. The
Patient Transition Coordinator supports seamless care transitions
by coordinating referrals to hospice, home health, home infusion,
and palliative services. This role works closely with Care
Transition Coordinators and Home Health Care Transition
Coordinators to ensure patients receive timely and appropriate
services. The Coordinator promotes Compassus values of Compassion,
Integrity, Excellence, Teamwork, and Innovation, upholds the Code
of Ethical Conduct, and fosters positive working relationships
across the organization and with external partners. Position
Specific Responsibilities • Organizes, tracks, and builds a
complete medical record for appropriate patient transition to the
home health providers; and confirms start of care (SOC) for each
patient referred. • Responsible for identifying all post-acute care
needs and collaborating with the Care Transition Coordinator. •
Collaborates with all Compassus/Ascension at Home intake teams. •
Responsible for completing the transition of care, including
submission of complete referral, and, securing outside agency
placement if Compassus/Ascension at Home is unable to service the
patient. • Organizes and prioritizes large volumes of information.
• Displays exceptional customer service to our
patients/families/referral sources. • Handles confidential and
non-routine information. • Manages and creates general
correspondences, memos, charts, tables, graphs, business plans,
etc. • Utilizes computer software applications effectively in word
processing, spreadsheets, database, and presentation software (MS
Word, Excel, Access, PowerPoint). Work requires continual attention
to detail in composing, typing, and proofing materials,
establishing priorities, and meeting deadlines. • Performs other
duties as assigned. Education and/or Experience Active and
unencumbered Licensed Practical Nurse in the state(s) of employment
required. Active and unencumbered license as a Registered Nurse in
state(s) of employment. Minimum of one (1) year of experience in a
related health care setting preferred. One (1) year experience in
home health, hospice and/or palliative strongly preferred. Prior
experience with electronic medical records preferred. Knowledge of
home health, hospice, and palliative eligibility requirements
preferred. Skills Mathematical Skills: Ability to add, subtract,
multiply, and divide in all units of measure, using whole numbers,
common fractions, and decimals. Ability to compute rate, ratio, and
percentage. Language Skills: Ability to read, analyze, and
interpret general business periodicals, professional journals,
technical procedures, or governmental regulations. Ability to write
reports, business correspondence, and procedure manuals. Ability to
effectively present information and respond to questions from
leaders, team members, investors, and external parties. Strong
written and verbal communications. Other Skills and Abilities:
Ability to understand, read, write, and speak English. Articulates
and embraces hospice philosophy. Physical Demands and Work
Environment: The demands of this role necessitate a team member to
effectively perform essential functions. Adaptations can be made to
accommodate team members with disabilities. Regular standing,
walking, and manual dexterity are fundamental, along with the
ability to lift and move objects up to 25 pounds. Visual acuity
requirements include close and distance vision, color and
peripheral vision, depth perception, and the ability to adjust
focus. This description provides a general overview and may vary by
role and department, capturing the nuanced demands and conditions
inherent to positions in our organization. At Compassus, including
all Compassus affiliates, diversity, equity, and inclusion are
fundamental to our Pillars of Success. We are committed to creating
a fair work environment where our team members feel welcomed,
highly valued, and respected. As an equal opportunity employer, all
qualified applicants will receive consideration for employment
without regard to race, color, religion, gender, gender identity or
expression, sexual orientation, national origin, genetics,
disability, age, or veteran status. LI-KM1 Build a Rewarding Career
with Compassus At Compassus, we care for our team members as much
as we care for our patients and their families. Through our Care
for Who I Am culture, we show compassion, respect, and appreciation
for every individual. Embark on a career that cares for you while
you care for others. Your Career Journey Matters We’re dedicated to
helping you grow and succeed. Whether you’re pursuing leadership
roles, specialized training, or exploring new career paths, we
provide the tools and support you need to thrive. The Compassus
Advantage • Meaningful Work: Make an impact every day by honoring
the quality of life of our patients, supporting them and their
families with compassion, and creating moments that truly matter. •
Career Development: Access leadership pathways, mentorship, and
personalized professional development. • Innovation Meets
Compassion: Collaborate with a supportive team using the latest
tools and technologies to deliver exceptional care. • Enhanced
Benefits: Enjoy competitive pay, flexible time off, tuition
reimbursement, and wellness programs designed for your well-being.
• Recognition and Support: Be celebrated for your contributions
through recognition programs that honor your dedication. • A
Culture of Belonging: Thrive in a culture where you can be your
authentic self, valued for your unique contributions and supported
in a community that embraces diversity and inclusion. Ready to
Join? At Compassus, your career is more than a job—it’s an
opportunity to make a lasting impact. Take the next step and join a
team that empowers you to grow, innovate, and thrive.
Keywords: Compassus, Mansfield , Patient Transition Coordinator, Healthcare , Lima, Ohio
