Transitional Care Coordinator - Tampa, Florida

* This role will be working onsite in facilities based out of Tampa, Florida. This job is responsible for coordinating care for patients across the continuum to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes. The scope of this job includes utilizing high level communication skills to assess and identify problems and outcomes, assisting patients with identifying and overcoming barriers, and evaluating the results.

• Cultivate and maintain professional relationships with clients, patients, and stakeholders by providing sensitive and respectful care in line with diversity standards and human dignity.
• Conduct holistic assessments, prioritize patients based on need, and develop, implement, and revise care plans in collaboration with patients, families, and the healthcare team.
• Partner with healthcare providers, including physicians and hospital staff, to identify at‑risk patients, reduce readmission risks, and facilitate smooth transitions across the healthcare continuum.
• Coordinate and educate program expectations with providers, payers, and families to ensure appropriate referrals and optimized clinical outcomes.
• Advocate for patient needs through effective communication and service coordination and promote patient self‑management and wellness by empowering patients and families to make informed choices and build supportive care systems.
• Maintain accurate documentation, stay current on healthcare regulations and practices, and participate in team meetings and orientation activities to promote collaboration and continuous improvement.

Perform other job duties as assigned.

• Valid Driver’s License
• Active RN, OT, or PT license
• Minimum of 2 years’ experience in field and/or direct patient care.

• Excellent communication skills and the ability to interact well with diverse individuals.
• Experience with territory management, strong presentation skills, performance management, building relationships, emphasizing excellence, negotiation, results driven, planning and execution.
• Strong understanding of customer and market dynamics, as well as transitional care best practices.
• Should be self‑starter who requires minimal supervision.
• Proficient with Health Care IT technologies.

• Willing to travel up to 30% based on business needs.
• Willing to work additional or irregular hours as needed.
• Must work in accordance with applicable security policies and procedures to safeguard company and client information.
• Must be able to sit and view a computer screen for extended periods of time.

Well Sky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At Well Sky you can make a difference.

• Excellent medical with Rx, dental, and vision benefits
• Mental Health support through EAP
• Generous paid time off, plus 13 paid holidays
• 100% vested 401(K) retirement plans
• Educational assistance up to $2500 per year

Well Sky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law.

Well Sky is proud to be a drug‑free workplace.

Applicants for U.S.

-based positions with Well Sky must be legally authorized to work in the United States.

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