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Senior Transition Specialist
4 weeks ago
Join Fidelis Care as a Senior Transition Specialist and play a critical role in transforming the health of our communities. As a key member of our team, you will be responsible for ensuring the timely and safe transition of members in the community from various levels of healthcare services.
Key Responsibilities:- Work with care coordination teams, providers, and other healthcare team members to develop effective transition plans for members in the community.
- Assist with the transition of care for members in the community based on enrollment or transition of care for services identified.
- Identify new member enrollees requiring transition services and work with care coordination and care management teams to address their needs.
- Ensure existing authorizations are honored during the transition process and work with care management teams and providers to address any issues.
- Act as a resource for members and their families/caregivers to educate them on services, requirements, limitations, and exclusions of services as a result of transition planning.
- Review transition metrics, including new member assessments and volume of members transitioning into or out of care, to identify trends and process improvements.
- Partner with leadership to identify process improvements for transition of care for members and provide recommendations.
- Develop education materials and resources for members on requirements, limitations, or exclusions of services for transition of care.
- Develop education and training programs for care coordination staff and providers to improve transition of care services for members.
- Bachelor's degree and 4-6 years of related experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position.
- Competitive pay: $29.43 - $52.98 per hour
- Comprehensive benefits package, including health insurance, 401K, and stock purchase plans
- Tuition reimbursement and paid time off plus holidays
- Flexible work arrangements, including remote, hybrid, field, or office work schedules
Fidelis Care is an equal opportunity employer committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
