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Care Transition Coordinator
4 months ago
InfuCare Rx is a leading home infusion provider accredited by URAC and ACHC offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical, team oriented, and quality work environment for our employees that cultivates achievement and success.
Job Summary:
The Care Transition Coordinator (liaison) sales support position that involves indirect patient care for a population of patients within a wide range of ages and home infusion therapy needs. Special training and/or expertise is required to serve this population. Using discretion and independent judgment, the Care Transition Coordinator acts as the interdisciplinary coordinator responsible and accountable for developing timely, complete, appropriate, and individualized home infusion referrals for patients returning to the home setting with home infusion services. The Care Transition Coordinator is also responsible for incorporating available community resources into the patient centered home infusion referral. This position requires the ability to work independently and with minimal supervision. The Care Transition Coordinator reports directly to the Area Sales Director. Travel is required as part of the job function.
Benefits:
- Medical/Dental/Vision
- STD/LTD
- Group Term Life
- Voluntary Life and AD&D
- 401K with Company Match
- Paid Sick Leave
- Paid Time Off
- 6 Paid Holidays
Primary Responsibilities:
- Targets physician prescribers, discharge planners and key decision makers and educates on company’s patient specific services that are of value to referral sources and patients.
- Identifies and develops relationships with all sales targets that directly refer patients/prescriptions for infusion medications.
- Works with Area Sales Director to create and execute area business and growth plan.
- Coordination of referral for Home Infusion services by obtaining comprehensive referral information, medical records review, and verification of benefits to ensure eligibility of home infusion needs prior to hospital discharge.
- Confers with hospital discharge planner, physicians, home care agencies and other hospital staff as needed to educate and identify patient home infusion needs upon request by case manager, social service, and/or physician.
- Identifies patient’s home infusion needs through the review of medical record, physician orders and interviews with patient and family.
- Identifies potential risk management problems for patients being discharged with home infusion services and reports cases to Director and/or Case Manager Supervisors and Company.
- Obtains essential information needed to determine an individual’s eligibility for entry into home care. Entry is based on admission criteria; patient needs and company’s ability to meet patient needs.
- Formulates a referral for home infusion services in collaboration with the prescribing physician, professional staff, and patient/family.
- Provides patients with information regarding home infusion services.
- Discusses medical insurance coverage related to home infusion services and patient financial responsibility with patient/family as necessary.
- Provides the company with complete and accurate referral information prior to patient hospital discharge.
- Responsible for understanding the expectations of the hospital and Company in the discharge planning process.
Discusses company/hospital service issues to formulate a plan for home infusion coordination and referral processes. - Promotes a positive image for the hospital department and the home infusion company, through collaboration and communication with hospital and home infusion company personnel.
- Responsible for participation in patient home infusion coordination of care processes.
- Works with home infusion company, Pharmacy, Nursing, Intake, and Quality Depts to ensure timely, safe, and accurate delivery and administration of medications, supplies and equipment.
- Maintains start of infusion care as directed by physician.
- Identifies home infusion company’s scope of services.
- Ensures customer satisfaction ratings are within hospital and home infusion company standards in case management measured areas.
- Complies with all HIPAA, state, federal, regulatory, and accrediting body requirements.
- Maintains current knowledge of insurance coverage, payor contractual obligations, and reimbursement regulations.
Required Qualifications:
- The Care Transition Coordinator position requires a minimum of 3-5 years of experience in infusion therapy, home care or a hospital related setting. Practical knowledge of State and Federal regulatory requirements and knowledge of JCAHO or ACHC regulations as it applies to infusion care is preferred. RN or LPN and a sales background is a plus
- Must have strong organizational skills and liaison capabilities with well-developed written and verbal communication skills.
- Hands on home or alternate site infusion or discharge planning experience
- Experience building and maintenance of service provider partnerships
- Able to work independently with minimal supervision.
- Working knowledge of insurance industry requirements and patient counseling/education preferred.
- Must be capable of learning basic computer skills: Microsoft Word, E-mail, and data entry.
- Valid driver’s license with driving record and auto insurance that meets company standards.
Confidentiality and Compliance:
- Always maintain confidentiality of patient and proprietary information.
- Observe legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary company information.
- Understand and comply with HIPAA rules and regulations.
- For all activities complies with accreditation, legal, regulatory, government and safety requirements.
Physical Demands:
Required to stand, walk, sit, talk and hear; required to use hands to operate vehicles and office equipment; must be able to occasionally lift and/or move up to 25 lbs; specific vision requirements for this job include: close, distance and peripheral vision, and the ability to adjust focus, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care.
InfuCare Rx is an equal opportunity employer. All employment decisions are made without regard to race, color, religion, national origin, military status, marital status, citizenship/immigration status, sex (including pregnancy and relation conditions, sexual orientation, or gender identity), age (40 and older), disability, genetic information (including employer requests for, or purchase use, or disclosure of genetic tests, genetic services, or family medical history), retaliation for filing a charge, reasonably opposing discrimination, or participating in a discrimination lawsuit, investigation, or proceeding. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer, Minority/Female