Hospital In-Patient Specialist
Optimal Care
Hospital In-Patient Specialist
Optimal Care
Medicare-certified home health with geriatric care
About the Role
Support patients and families through important transitions by ensuring care remains connected from hospital admission through discharge and follow-up. As a Hospital In-Patient Specialist, you'll track geriatric patients throughout acute hospital and post-acute rehabilitation stays, maintain an accurate understanding of each patient's disposition, and communicate important updates to families, facilities, providers, and internal care teams. Your coordination will help ensure critical information follows the patient and that appropriate services are prepared as they transition to the next stage of care.
This role is ideal for an organized, proactive healthcare professional who enjoys problem-solving, communicating with multiple stakeholders, and helping patients navigate complex care transitions. You'll monitor inpatient stays, review and maintain medical records, coordinate discharge information with scheduling teams for timely transitional care management (TCM) visits, connect patients and caregivers with available resources, and help resolve patient or family concerns. Through strong follow-through and communication, you'll help create smoother transitions, reduce gaps in care, and ensure patients remain connected to the support they need after hospitalization.
Location
Hours
Required Qualifications
Preferred Qualifications
Essential Skills and Competencies
How We Care for You
Optimal Care is where your dedication meets a rewarding career.
Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We’re committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day.
As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day.
We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life.
We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care.
Background Screening
Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.
Reasonable Accommodations
We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation.
Equal Opportunity Employer
We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.
Pay Range 18 - 20 USD
Medicare-certified home health with geriatric care
Optimal Care provides Medicare-certified home health services for seniors using a nurse practitioner-led care model. A nurse practitioner visits patients at home to assess needs and develop a personalized plan that includes programs such as behavioral health, dementia, geriatric, diabetic, wound, and orthopedic care. This setup delivers a wide range of specialty care directly in the home, not just post-surgical or rehabilitation services. Its goal is to keep older adults safe and healthy at home through coordinated, in-home care.
Explore more opportunities at Optimal Care