Care Coordination Specialist

Job summary

Coordinate individualized care and interdisciplinary discharge planning with patients, clinical teams, caregivers, and community partners to support safe transitions and appropriate use of post-acute resources. Address barriers to care, coordinate referrals and authorizations, and manage workflows that improve outcomes, reduce avoidable readmissions, and support regulatory compliance and value-based performance.

Job details

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence The Care Coordination Specialist Will Function as a key member of an interdisciplinary, value-based care delivery model, collaborating with patients, nursing, physicians, advanced practitioners, caregivers, and community partners to optimize clinical, quality, and financial outcomes. Provide comprehensive care coordination and interdisciplinary discharge planning processes for patients ensuring appropriate utilization of post-acute resources, reduce avoidable readmissions, and support accurate risk stratification. Integrates clinical, social, and economic determinants of health into individualized care planning, ensuring alignment with patient acuity, developmental stage, and payer requirements. Proactively identify and address barriers impacting transitions of care, including social determinants of health (SDOH), to enhance patient outcomes and support appropriate risk adjustment and reimbursement optimization. Perform transition of care management, including timely coordination of services, facilitation of medically necessary referrals, initiating post-acute authorizations if applicable, assisting with transportation needs, and effective linkage to community-based resources to ensure continuum of care. Apply strong organizational and operational management skills to coordinate multiple high-impact workflows, supporting compliance with regulatory requirements, efficient length of stay management, and improved performance in value-based reimbursement models. Position Details Location: St Josephs Hospital - Tampa, FL Status: Full time, 40 hours per week. Schedule: Monday - Friday 8:00 AM - 4:30 PM Weekend Requirement: Occasional On Call: No Education And/or Licensure Bachelor's degree in social work, psychology, or healthcare related field OR HS Graduate or Equivalent GED and LPN License. Experience Medical Social Work or LPN experience preferred Benefits Benefits (Health, Dental, Vision) Paid time off Tuition reimbursement 401k match and additional yearly contribution Yearly performance appraisals and team award bonus Community discounts and more Equal Opportunity Employer Veterans/Disabled

What you’ll do

Coordinate individualized care and interdisciplinary discharge planning with patients, clinical teams, caregivers, and community partners to support safe transitions and appropriate use of post-acute resources. Address barriers to care, coordinate referrals and authorizations, and manage workflows that improve outcomes, reduce avoidable readmissions, and support regulatory compliance and value-based performance.

Requirements

Applicants must have a bachelor's degree in social work, psychology, or a healthcare-related field, or a high school diploma or GED and an LPN license. Medical social work or LPN experience is preferred.

Benefits

• Health Insurance
• Dental Insurance
• Vision Insurance
• Paid Time Off
• Tuition Reimbursement
• 401(k) Match
• Additional Yearly 401(k) Contribution
• Yearly Performance Appraisals
• Team Award Bonus
• Community Discounts

Listed skills

• interdisciplinary collaboration · Preferred
• Regulatory Compliance · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Care Coordination
• Interdisciplinary Collaboration
• Discharge Planning
• Clinical Assessment
• Post-Acute Resource Coordination
• Readmission Prevention
• Risk Stratification
• Individualized Care Planning
• Social Determinants of Health
• Transitions of Care
• Referral Coordination
• Prior Authorization
• Community Resource Linkage
• Length of Stay Management
• Regulatory Compliance
• Operational Management

Job areas

• Healthcare
• Social Services
• Management & Leadership

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