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Care Transitions Coordinator

Care Transitions Coordinator

SilverStayBaltimore, MD, US
3 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Care Transitions Coordinator

Full-time | Baltimore, MD (local travel required) | Hybrid (home + field)

At SilverStay, we’re on a mission to be the leading healthcare services company nationwide for complex discharges by 2030. Our team provides solutions for medically and financially complex clients who are failing at home or transitioning out of the healthcare system. Our guideposts of Empathy, Creativity, Collaboration and Ethical Conduct, while “wowing” our clients, means that we’re not just providing solutions, we’re changing healthcare.

Role Overview

The Care Transitions Coordinator is a key member of SilverStay’s Assisted Living team and the in-person guide for families touring assisted living facilities (ALFs). You’ll step in once options are identified, meet families at facilities, develop trust quickly, assist with comparing choices, and—when appropriate—help complete deposits and move-in steps on the spot. You’ll collaborate closely with the Client Champion (first contact / qualification) and the Transition Specialist (curates options) to keep every case moving forward.

This role reports to the Assisted Living Team Lead. It is full-time, Baltimore-area based, and blends field work (tours, hospital / rehab visits) with remote coordination on days without tours.

What You’ll DoCase & Tour Management

  • Take ownership once families are ready to tour : confirm logistics, meet onsite, and guide them through facility walkthroughs and decision-making.
  • Building immediate rapport —establishing a welcoming, informed experience for families navigating a stressful life transition.
  • When appropriate, facilitating the initial deposit and move-in steps during / after the tour, including needed documents and admissions requirements.
  • Conduct occasional in-person hospital / rehab visits to gather documents or align discharge timing with the availability of the assisted living facility.

Collaboration & Handoffs

  • Partner with the Client Champion (first contact and financial / needs qualification) and the Transition Specialist (option curation) to ensure a smooth handoff into touring and through move-in.
  • Keep hospital and rehab teams in the loop on discharge readiness and placement timelines.
  • Join daily team meetings and weekly case reviews; proactively manage your schedule when tours conflict with team calls.
  • Documentation & Follow-through

  • Document tours in real time (tour outcomes, deposit status / amount, ALF availability / readiness, required documentation, next steps).
  • Maintain up-to-date case notes in the ticketing / CRM system; communicate promptly via Slack when tagged.
  • Coordinate final discharge and placement details with the Transition Specialist.
  • Referral Development

  • Support the team by nurturing relationships with local referral sources (hospitals, ALFs, SNFs, physicians, home health, hospice, community agencies) to increase high-quality tour activity.
  • How we measure success

  • Completed tours per month
  • Tour-to-deposit / move-in conversion rate
  • Quality & timeliness of documentation / communication
  • What You’ll Bring

  • 1–4+ years in customer-facing roles (healthcare, senior living, discharge planning, care navigation, or adjacent); assisted living / hospital / SNF experience is a plus but open to train the right person.
  • Empathy-forward communicator who’s comfortable discussing sensitive topics (care needs, budgets) and can be both kind and direct.
  • Organized, responsive, and self-managed—you run your calendar, own your follow-ups, and ask for help early.
  • Familiarity with medical terminology and senior care options (Assisted Living Facilities, Long Term Rehab, home health) preferred.
  • Competent with CRM / ticketing tools, Google Workspace / Microsoft Office, and fast, professional Slack communication.
  • Baltimore-area based; valid driver’s license, reliable vehicle, and proof of insurance required. (Significant local driving—mileage reimbursed at the IRS standard rate.)
  • Why Join SilverStay

  • High support, no micromanaging : Clear goals, quick answers, and a team that’s got your back.
  • Real impact : Help families make confident decisions and help hospitals coordinate smoother, safer discharges.
  • Path for Growth : Learn the full transitions workflow and advance in opportunities as we scale together.
  • Values-driven : Empathy, Creativity, Collaboration, Ethical Conduct—dedicated to “wowing” patients, families, and partners.
  • Compensation & Benefits

  • Competitive base salary with incentive plan (quarterly performance bonus tied to tours, conversions, and service quality).
  • Health, dental, and vision benefits; 401(k) with company match.
  • Paid time off and paid holidays.
  • Mileage reimbursement at the IRS standard rate for all approved travel.
  • Laptop and the tools you need to do your best work.
  • If you’re a service-minded, organized, and empathetic people-person who thrives in the field—and you want to grow with a fast-moving team—apply today for immediate consideration.

    SilverStay is a 2024 Baltimore Business Journal Best Places to Work! Learn more about SilverStay here.

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