All Jobs
All Jobs
Transitions Coordinator Central Oregon

Transitions Coordinator

Full Time • Central Oregon
Why Work for Us?
Partners In Care (PIC) is an independent 501(c)(3) nonprofit organization and the largest, oldest provider of home health, palliative care, and hospice services in Central Oregon. Serving Deschutes, Crook, and Jefferson counties, our dedicated team of over 200 employees and 200 volunteers delivers compassionate, patient-centered care across a 10,000-square-mile area. Additionally, Hospice House in Bend, Oregon, is a specialty hospital for inpatient hospice care, creating an oasis of tranquility and comfort for patients and their families.

Schedule: Full-time 40 hrs per week, Monday-Friday.
Location:  Working in the field in patients' homes and facilities throughout Central Oregon.

What You Get To Do:  The Transitions Coordinator implements and builds community awareness of the Transitions Program for the entire service area for Partners In Care. Provides nonclinical case management and community resource navigation. Makes referrals to appropriate community services as needed by the client/family. Interacts with administration, volunteer department, field clinicians and supervisors, outreach team, volunteers, physicians, community agencies and the public. 

  • Effectively case manages Transitions client services. 
  • Establishes and maintains positive working relationships with current and potential Transition clients/referral sources. 
  • Communicates with providers regarding their patients (our clients) on Transitions, as appropriate. 
  • Effectively coordinates community services as client/family needs indicate. 
  • Public speaking regarding the Transitions program to community. 
  • Outreach responsibilities as determined by the department, supervisor and organization.  
  • Works with Volunteer department to implement volunteer services, when appropriate, for Transitions clients. 
  • Maintains all Transitions program policies and procedures; and HIPPA privacy practices. 
  • Attends weekly meetings with Transitions team, quarterly meetings with the palliative care team and monthly meetings with the outreach department. 
  • Maintains accurate documentation/records per organization and department standards. 
  • Informs Transitions team members about new clients and updates. 
  • Participates in phone coverage rotation schedule. 
  • Adheres to the PIC mission and values. 
  • Supports the organizational mission. 
Required Skills and Qualifications: 
  • Bachelor’s degree or equivalent experience. 
  • CHW certification and Spanish speaking preferred, but not required. 
  • One year of home health/ hospice care experience preferred. 
  • Demonstrates excellent observation, verbal, and written communication skills. 
  • Adequate verbal, written, and organizational skills needed to perform job functions. 
  • Case management experience preferred. 
  • Knowledge and understanding of support resources in Central Oregon preferred. 
  • Local/regional travel by personal vehicle during the working day, centralized from the Bend office and extending throughout Central Oregon. 
  • Ability to pass a background test, drug screen, and TB test.  
  • Current automobile insurance, valid Oregon driver’s license, and reliable transportation required for those working in the field. 
  • Strong communication and interpersonal skills. 
  • Ability to work independently and collaboratively within an interdisciplinary team. 
Company Perks: 
  • Two Medical/Dental Plans, including vision. 
  • Generous Paid time off. 
  • $25,000 life insurance policy. 
  • Short and long-term disability. 
  • 403b retirement savings with employer match, no vesting required! 
  • Employee Assistance Program 
  • Voluntary benefits: Legal Shield, AFLAC & MASA Transportation. 
Compensation: $22.00 - $36.13 per hour

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.





(if you already have a resume on Indeed)

Or apply here.

* required fields

Location
Or
Or

U.S. Equal Opportunity Employment Information (Completion is voluntary)

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

Form CC-305
OMB Control Number 1250-0005
Expires 4/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.