Care Transition Coordinator

7 days ago


Alexandria, United States Knute Nelson Full time

|Details| This is the timeframe where you will do remarkable things.
Schedule: Full-time | 80 hours per pay period | Monday-Friday | 8 am - 4:30 pm

Seeking an LPN or Social Worker with two or more years of experience working in home health, hospice, or a similar healthcare setting.

Act as the subject matter expert in organization's clinical technology programs to ensure optimization and data integrity.

Be an expert in analyzing patient data to determine when alternative care options should be recommended to best meet the patient's unique needs.

Responsible for managing the Bridge program to identify our clients that potentially qualify for hospice services and facilitating conversations between the clinical and operational teams to promote a safe and effective transfer between service lines.

Utilize additional analytics reporting to identify home health clients that are high resource users or high risk for emergent care. They will provide additional support to the clinical teams to manage the patients, ensure we are utilizing our resources effectively, such as telehealth, and following clinical protocols to mitigate risk.
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