HOSPICE COORDINATOR

4 days ago


East Hartford, United States Hartford HealthCare Full time
b>Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details:

Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: We invite you to become part of Connecticut's most comprehensive healthcare network as a Transitional Care Coordinator.

Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our employees to learn and grow within our organization, all while providing integrated support to the patient. As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client's home. br>
Basic Purpose of the Position:

Work in collaboration with hospital case managers and or social workers, skilled nursing facilities, Assisted living facilities, Independent Living Facilities, home care agencies, and physicians to provide education to customers, patients and families in coordinating the care of patients moving from one level of care to another to ensure a safe and effective patient's transition across the post-acute care continuum. Serves as a bridge between the healthcare team and the patient and/or caregivers, as well as helps to reduce facility re-admissions. Provides information and guidance to the patient and/or caregiver resulting in effective care transitions, improved self-management skills and knowledge of their illness and or disease process in addition to supporting enhanced communication between the patient and the healthcare team. Responsible for building and expanding HHCAH relationships as well as identifying opportunities for HHCAH to be a strategic partner generating qualified referrals and building new clinical initiatives.

With a goal of achieving excellence in every patient and customer experience, the Central Intake Coordinator's core purpose is to review referral documentation to clinically assess and align the appropriate level of care, services and programs with the goals of care for the patient based on the information received from the referral source, field Transitional Care Coordinator and/or patient. The CIC will ensure completeness of the referral record, follow-up and collect missing referral documents required for HH regulatory compliance, communicate and coordinate care with Case Management and field TCCs, obtain verbal orders when missing from initial referral documents, monitor fax queue for documents received after initial referral is processed, maintain ownership of all agency referrals after initial processing, process and follow-up on transfer patients and manage patient PING database for HH admissions. The CIC will :
• Become educated on levels of care and service across the healthcare system, care navigating as required in facilitating timely coordination of certified or hospice care and services for patients moving from one level of care to another to ensure safe and effective patient transition across the pot-acute continuum. Serves as a bridge between the SSO, healthcare team and the patient and/or caregivers.
• Communicate and coordinate referrals and patient care with the onsite TCCs and/or clinical areas to provide seamless care to patients. br>• Locate patients that transfer to hospital and communicate with clinical teams and TCCs.
• Receive and resolve inquiries for referral data/items required for coding and billing.
• Adherence to regulatory and agency policies and procedures.
• This position is within our Homecare Customer Service Department. br>• Accountable for team performance in achieving desired clinical and operational performance measures.
• Identifies and facilitates professional development needs and competency for staff.

Key Areas of Responsibility:
  • Collaborate and communicate with Primary Care Providers and home care staff to ensure continuity of medical care, to include obtaining, clarifying, validating service requests and completing verbal orders.
  • Communicate with transitional care staff, clinical colleagues, physician's offices, and home care staff to coordinate homecare orders, follow up appointments, risk factors, insurance parameters and goals of care.
  • Ensure collection and appropriateness of referral documents to support sound medical practice.


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