Transitions Care Coordinator

Transitions Care Coordinator

Requirements

• At least 1 year of patient facing experience in a healthcare setting required
• Strong written and verbal communication skills; Spanish Speaking preferred
• Understanding of Mac iOS, Google suite.

Responsibilities

• Assist the care coordination team, primary care offices, and patients with care coordination for ER visits/stays, acute and post-acute care facility admissions and discharges.
• Act as a liaison with care teams and outside medical providers where appropriate.
• Work collaboratively with hospitals, post-acute facilities, and home health organizations
• Monitor acute and post-acute care facility admissions, lengths of stay and clinical outcome and provide feedback as needed.
• Field incoming phone calls/messages from patients and their families and appropriately addressing those needs or provide hand off to other key team members in an appropriately urgent manner
• Coordinates discharge, follow up appointments, and nurse follow up calls as appropriate
• Initiating outbound administrative requests, by phone and in writing, such as medical record requests.
• Sorting and triaging of incoming faxes, including scanning and appropriate e-filing
• Engage in process building and development for a new team approach by listening, sharing input and ideas, and enacting decisions and plans.

Preferred Qualifications

• Experience as a hospital case management assistant, home health care coordinator, or transition navigator preferred
• Experience working with Senior patients preferred