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Home Health Care Transition Coordinator

1 month ago

Indianapolis, Indiana, United States Compassus Full time
Job Summary

The Compassus Home Health Care Transition Coordinator plays a vital role in ensuring seamless transitions for patients from hospital to home care. This position requires strong communication and interpersonal skills, as well as the ability to navigate complex healthcare systems.

Key Responsibilities
  • Collaborate with physicians, hospital case managers, and referral sources to facilitate smooth transitions.
  • Conduct skilled conversations with patients, families, and healthcare providers to understand their needs and preferences.
  • Maintain a deep understanding of hospital and post-acute healthcare systems, including home health, home infusion, and hospice services.
  • Develop and implement transition plans that meet the unique needs of each patient, ensuring the right care at the right time.
  • Provide education and support to patients and families on home care services, benefits, and eligibility requirements.
  • Build and maintain strong relationships with healthcare professionals, including primary care physicians and hospital staff.
  • Stay up-to-date on industry developments, including changes to Medicare and Medicaid policies, and apply this knowledge to improve patient outcomes.
Requirements
  • Bachelor's degree in a healthcare-related field or equivalent experience.
  • 2-3 years of nursing experience, preferably in hospital or long-term care settings.
  • Strong understanding of home health eligibility admission requirements, COPs, PDGM knowledge, and risk scoring/data analysis.
  • Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
  • Ability to work in a fast-paced environment, prioritizing multiple tasks and deadlines.
What We Offer

Compassus is committed to creating a fair and inclusive work environment where our team members feel valued and respected. We offer competitive compensation and benefits, as well as opportunities for professional growth and development.