Are you ready to bring your talent and passion for delivering exceptional patient care to a team that’s transforming lives?

At Bridge Home Health & Hospice, we are driven by our commitment to excellence in serving communities across California. For over a decade, our vision has remained clear: to set the standard in compassionate post-acute care and provide unwavering support for patients and their families.

Our culture is built on compassion, where every team member plays a vital role in our success. We celebrate diversity, live by our core values, and strive to be both the provider and employer of choice. If you're looking for a career with meaning, growth, and impact, Bridge is the place for you!

Req #264
Home Health - Full Time - Monterey County and Santa Cruz
JOB DESCRIPTION SUMMARY

The Clinical Transition Coordinator and the home health agency, coordinating patient transitions and ensuring seamless care.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

• Assessing patient needs and facilitating referrals for home health services.
• Building and maintaining relationships with healthcare providers and facilities.
• Educating patients and families about home health care options and care plans.
• Obtaining and verifying physician orders as a licensed RN in accordance with California scope of practice requirements and Medicare Conditions of Participation.
• Acting as the primary liaison between acute care settings and patients/families.
• Coordinating with discharge planners, care managers, and referral coordinators to streamline patient transitions.
• All other tasks as assigned.

• Must be a licensed Registered Nurse (RN) or Licensed Vocational Nurse in the state of California.
• Ability to advocate for patient centered care and possesses the ability to assess patient care needs and risks
• Understand medical terminology and care plans
• At least two years of experience in healthcare, operations and/or clinical experience preferred.
• Experience in working with healthcare providers who oversee the discharge process of patients to their home setting.
• Understanding of community services, post-acute care options, and payer systems (Medicare, Medicaid, private insurance)
• Familiarity with electronic health records (EHR)
• Ability to collaborate with physicians.
• Strong communication skills and ability to interact tactfully with customers and the community.
• Knowledge of corporate business management principles.
• Demonstrates autonomy, organization skills, assertiveness, flexibility, and cooperation.
• Must have a valid driver’s license for the state in which they work, as well as maintain current and valid auto insurance.
• Must be willing and able to travel locally daily to hospitals, skilled nursing facilities, and patient homes as needed.

• The ability to sit occasionally for 1-3 hours.
• The ability to frequently stand for 3-6 hours.
• The ability to occasionally drive/ operate foot control for 1-3 hours
• The ability to walk intermittently on level and or unlevel surface for less than 1 hour
• The ability to intermittently bend or climb for less than 1 hour.
• The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours
• The ability to lift 50 pounds frequently for 3-6 hours
• The ability to lift greater than 50 pounds occasionally for 1-3 hours.
• The ability to carry up to 50 pounds frequently for 3-6 hours.
• The ability to carry greater than 50 pounds occasionally for 1-3 hours.
• The ability to push up to 50 pounds frequently for 3-6 hours.
• The ability to push greater than 50 pounds occasionally for 1-3 hours.
• The ability to pull up to 50 pounds frequently for 3-6 hours
• The ability to pull greater than 50 pounds occasionally for 1-3 hours.

• Competitive Pay
• Collaborative Culture: A dynamic and supportive team environment
• Career Growth Opportunities: Various development pathways
• Work-Life Balance: Flexible schedules to meet your needs
• Comprehensive Benefits: