Care Transition Coordinator, RN

1 week ago


Sarasota FL United States BayCare Full time
Job Description

There’s home care and then there’s BayCare HomeCare

 

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

 

BayCare is currently in search of our newestCare Transition Coordinator, RN with BayCare HomeCare who is passionate about providing outstanding customer service to our home care community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. 

 

Position details:

  • Location: Sarasota Memorial Hospital - Sarasota, FL - ONSITE
  • Status: PRN, As Needed
  • Schedule: Days will Vary, 9:00 AM - 6:00 PM
  • Weekend Requirement: Occasional
  • On Call: No


 The Care Transition Coordinator, RN is responsible for transitions of care from acute and subacute setting to home with home health care.

  •  Provide education of homecare services to community groups and physicians.
  • Collaborate with business development team in gaining and maintaining market share through referral intake process.
  • Collaborate with referral sources in transitions of care.
  • Timely communication with all referrals sources telephonically as well as through electronic platforms.
  • Provide clear concise referral provided to homecare division meeting all regulatory, payer, and safety requirements.
  • Completion of preadmission assessment and education to patient and caregiver of homecare services.
  • Coordination of Homecare and Pharmacy as well as communication with referral sources and physicians.
  • Responsible for knowledge of Medicare and Managed Care regulations and requirements.
  • Timely response to referrals sources, providers, and leadership is essential.
  • Responsible for documenting face to face encounter, verifying POC and following Physicians which is a condition of payment.
  • Oversight of Care Coordination Assistant team.
  • Identifies patients appropriate for disease management programs and telehealth.
  • Performs ICD-10 coding of referrals.
  • Identifies potential MSP scenarios.
  • Responsible for leading MDI huddles on rotation basis.
  • Monitors and communicates referral source activity acting as one point of contact for referral sources, home health, and infusion.
  • Will be responsible for additional transitions of care duties as assigned.

 

Requirements:

  • Active/Clear Florida RN license is required.
  • Required Associate's Nursing or Diploma Nursing
  • CCMC Certification preferred
  • Preferred Bachelor's Nursing
  • Preferred 3 years Nursing
  • Preferred 1 year Home Care

 

Equal Opportunity Employer Veterans/Disabled




  • Sarasota, United States BayCare Full time

    Theres home care and then theres BayCare HomeCare! At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a...


  • Sarasota, United States BayCare Full time

    Job Description There’s home care and then there’s BayCare HomeCare! At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team...


  • Sarasota, United States BayCare Full time

    Job DescriptionThere’s home care and then there’s BayCare HomeCare! At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team...


  • North Charleston, SC, United States Interim HealthCare Staffing Full time

     RN Transitional Care Coordinator Markets Interim HealthCare home care services, including Home Health, Hospice and Personal Care & Support Services internally across service lines and externally to potential referral sources and prospective clients to increase profitable sales and continue the development of this business. RN with Hospice experience...


  • North Charleston, SC, United States Interim HealthCare Staffing Full time

     RN Transitional Care Coordinator Markets Interim HealthCare home care services, including Home Health, Hospice and Personal Care & Support Services internally across service lines and externally to potential referral sources and prospective clients to increase profitable sales and continue the development of this business. RN with Hospice experience...


  • Austin, TX, United States Central Health Full time

    Transitions of Care Clinical Advocate RNOverview The Transitions of Care Clinical Advocate (RN) will engage Medical Access Program (MAP) patients during the hospital admission phase to support care coordination with Central Health's network of providers, optimize care navigation and provide patient and caregiver education under a transitions of care...


  • Austin, TX, United States Central Health Full time

    Transitions of Care Clinical Advocate RNOverview The Transitions of Care Clinical Advocate (RN) will engage Medical Access Program (MAP) patients during the hospital admission phase to support care coordination with Central Health's network of providers, optimize care navigation and provide patient and caregiver education under a transitions of care...


  • Austin, TX, United States Central Health Full time

    Transitions of Care Clinical Advocate RNOverviewThe Transitions of Care Clinical Advocate (RN) will engage Medical Access Program (MAP) patients during the hospital admission phase to support care coordination with Central Health's network of providers, optimize care navigation and provide patient and caregiver education under a transitions of care program,...


  • Sarasota, Florida, United States Option Care Health Full time

    Unlock Your Potential with Option Care HealthWe are seeking a skilled Medical Service Transition Expert to join our team at Option Care Health. As a key member of our organization, you will play a vital role in ensuring seamless transitions for patients from hospital to home or alternative site care.About the Role:Sales and Marketing: Utilize your sales...


  • Los Alamitos, CA, United States Global Transitional Care (GTC) Full time

    Advanced Practice Transitional Care Nurse Full-time Global Transitional Care (GTC) is the first third-party specialty group provider organization dedicated to providing comprehensive transitional care. Our mission is to enhance the care continuum and provide personalized clinical oversight for each individual patient. GTC helps avoid complications and...

  • Care Transitions RN

    1 month ago


    Lincoln, NE, United States Bryan Health Full time

    Summary GENERAL SUMMARY: The Care Transitions RN conducts day-to-day activities for the clinical, psychosocial and utilization coordination of the patient's hospital experience. Proactively consults with the interdisciplinary team which includes but is not limited to hospital patient care staff, physicians, patient support and family and community...

  • Care Transitions RN

    4 weeks ago


    Lincoln, NE, United States Bryan Health Full time

    Summary GENERAL SUMMARY: The Care Transitions RN conducts day-to-day activities for the clinical, psychosocial and utilization coordination of the patient's hospital experience. Proactively consults with the interdisciplinary team which includes but is not limited to hospital patient care staff, physicians, patient support and family and community...


  • Pittsboro, NC, United States Vaya Health Full time

    LOCATION: Remote - must live in Vaya's catchment area. The person in this role must reside in North Carolina or within 40 miles of the NC border. GENERAL STATEMENT OF JOBThe Transition Coordinator QP (TC) is responsible for providing proactive coordination of services to persons residing in or being diverted from institutionalized settings prior to their...


  • Louisburg, NC, United States Vaya Health Full time

    LOCATION: Remote - must live in or near Durham, Wake, Chatham, Alamance, Granville, Franklin, Vance, Person, Rockingham, or Caswell counties, North Carolina. Incumbent must reside in North Carolina or within 40 miles of the NC border. This is a home-based position that requires community travel. GENERAL STATEMENT OF JOBThe Transition Coordinator QP (TC)...


  • Fayville, MA, United States BAYADA Home Health Care Full time

    Become a Part of Our Home Health Care Team as a Transition-to-Practice RNWe are seeking a talented and dedicated Registered Nurse (RN) to join our team in Fayville, Massachusetts as a Transition-to-Practice RN.This exciting opportunity offers a comprehensive training program, a supportive team environment, and a competitive salary range of $85,000-$110,000...


  • Plymouth, NC, United States Vaya Health Full time

    LOCATION: Remote - must live in or near Northampton, Halifax, Nash, Wilson, Edgecomb, Pitt, Greene, Lenoir, Pamlico, Beaufort, Hyde, Dare, Washington, Bertie, Martin, Gates, Pasquotank, or Perquimans County, North Carolina. Travel is required throughout these counties for this position. GENERAL STATEMENT OF JOBThe Money Follows the Person (MFP) Rebalancing...

  • Treatment Coordinator

    4 weeks ago


    Sarasota, FL, United States Life Care Centers of America Full time

    Treatment Coordinator (Registered Nurse/RN) Wound Care NurseThis position also requires on-call. Position Summary The RN Treatment Coordinator provides primary skin care to patients under the medical direction and supervision of patients' attending physicians in accordance with all applicable laws, regulations, and Life Care standards. Education,...

  • Treatment Coordinator

    4 weeks ago


    Sarasota, FL, United States Life Care Centers of America Full time

    Treatment Coordinator (Registered Nurse/RN) Wound Care NurseThis position also requires on-call. Position Summary The RN Treatment Coordinator provides primary skin care to patients under the medical direction and supervision of patients' attending physicians in accordance with all applicable laws, regulations, and Life Care standards. Education,...

  • Care Manager RN

    6 days ago


    Tualatin, OR, United States Providence RN Full time

    Care Manager RN - Social Work at Providence RN summary: The Care Manager RN - Social Work is responsible for coordinating care and ensuring appropriate transition for patients in the acute care setting. This role involves working with interdisciplinary teams to develop and implement transition plans, assist programs for community resources, and provide...

  • Care Manager RN

    2 weeks ago


    Wilsonville, OR, United States Providence RN Full time

    Description Care Manager RN (Part-Time/Day Shift) - Rotating schedule (Monday -Sunday) from 8:30am to 5pm. Expected to work every other weekend. RN Care Managers, in the acute care setting, provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute...