Transition of Care Coordinator, LVN (Home Care)

The Transition of Care (TOC) Coordinator at High Desert PACE is a pivotal clinical role dedicated to bridging the gap between acute care settings and the home environment. As an LVN in this role, you will facilitate the seamless, safe, and coordinated movement of PACE participants across the continuum of care including hospitals, skilled nursing facilities (SNF), PACE centers, and private residences.

Your mission is to ensure that no participant "falls through the cracks" during a transition. By providing rigorous clinical oversight, medication reconciliation, and caregiver education, you will promote participant independence, reduce avoidable readmissions, and uphold the integrated care model that defines High Desert PACE.