Care Transition Staff

2 weeks ago


Westwood MA United States AccentCare Full time

Overview Why You'll Love Being a Care Transition Staff at AccentCare Do you enjoy providing outstanding patient care? Bring your organizational skills and knowledge of at-home care and join the AccentCare team today in this Care Transition Staff job When you join AccentCare, you become part of a team that is not only dedicated to their patients, but to each other as well. Here, you will truly make a difference each and every day as you work alongside a supportive team. With a competitive benefits package, work-life balance, professional development, and an outstanding work environment, you will have everything you need to achieve success in your career. Bring your passion for patient care and you will build a career you love in this Care Transition Staff job Join the AccentCare team and apply for this Care Transition Staff opportunity today Offer Based on Years of Experience What You Need to Know Care Transition Staff Responsibilities: Manage the communication channels between physicians, social workers, discharge planners, Hospital case managers, Home Care Navigators, and agency staff by ensuring that all are aware of referral source requests and concerns; communicating information, questions, and status reports from the patient care staff to the referral source; establishing a system for handling non-admits and communicating this information to the referral source. Coordinate and communicate care needed and relays concerns of physician and staff prior to admission or resumption of care for a patient to the agency staff and during course of treatment. Take orders from the physician regarding patient care and communicates it to agency staff and maintains a current referral base of all referral sources within the service area. Facilitate patient referral for admission if requested prior to the patient's discharge from the hospital. Primarily conduct pre-discharge facility visits at the physicians' request to determine the need/eligibility for home care. Transition patient navigation to Home Care Navigators to establish physician follow up post discharge and ongoing care. Qualifications Care Transition Staff Qualifications: 1 - 3 years of experience in facility relationships and an understanding of facility discharge processes Clinical background preferred Current driver's license and liability insurance Firm working knowledge of concepts, practices and procedures and ability to use in varied situations Able to some advanced skills that allow employee to adapt and meet some complex or non-routine situations

Care Transition Staff Qualifications: 1 - 3 years of experience in facility relationships and an understanding of facility discharge processes Clinical background preferred Current driver's license and liability insurance Firm working knowledge of concepts, practices and procedures and ability to use in varied situations Able to some advanced skills that allow employee to adapt and meet some complex or non-routine situations

Care Transition Staff Responsibilities: Manage the communication channels between physicians, social workers, discharge planners, Hospital case managers, Home Care Navigators, and agency staff by ensuring that all are aware of referral source requests and concerns; communicating information, questions, and status reports from the patient care staff to the referral source; establishing a system for handling non-admits and communicating this information to the referral source. Coordinate and communicate care needed and relays concerns of physician and staff prior to admission or resumption of care for a patient to the agency staff and during course of treatment. Take orders from the physician regarding patient care and communicates it to agency staff and maintains a current referral base of all referral sources within the service area. Facilitate patient referral for admission if requested prior to the patient's discharge from the hospital. Primarily conduct pre-discharge facility visits at the physicians' request to determine the need/eligibility for home care. Transition patient navigation to Home Care Navigators to establish physician follow up post discharge and ongoing care.


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