Transitional Care Coordinator

8 hours ago


Wilmington, Delaware, United States Liberty Health Full time
Job Summary

Liberty Home Care is seeking an experienced Transitional Care Specialist to join our team. As a key member of our healthcare team, you will play a vital role in facilitating transitional care initiatives that promote hospice access across the organization.

Key Responsibilities
  • Collect and analyze organizational data to generate reports on current and projected work volume and for multiyear projections.
  • Identify, resolve, and report root causes of transitional care issues, and develop and implement leading practice solutions to achieve client goals.
  • Communicate continuously with facility administration to ensure coordination of information and maintain accuracy of Transitional Care planning.
  • Support the Business Development Team in developing educational programs for referral sources and provide clinical training on the Transitional Care Program.
  • Review and consult patient information to determine if hospice care is appropriate, and coordinate with hospice agency leadership and referral sources to promote timely admissions.
  • Provide company-wide training and support as needed, and confer with the Medical Director or attending physician regarding patient hospice determination criteria.
  • Obtain physician orders and certification of terminal illness, and complete consents for hospice admission as required.
  • Serve as a clinical liaison between assigned territories, coordinating referrals and admissions.
  • Complete an initial review of records and discuss hospice services with patients and families to determine hospice needs.
Requirements
  • Bachelor's Degree or Clinical License Required. At least 5 years of healthcare experience within the Post-Acute Industry.
  • Good organizational and time management skills, with the ability to interact well with co-workers while maintaining strict confidentiality.
  • Ability to work with limited direction and fluid autonomy, while effectively working within a team.
  • Strong analytical skills for market intelligence management and targeted execution of measures.
  • Ability to implement necessary changes with all internal and external partners involved with Transitional Care.
  • Strong attention to detail and pleasant telephone manner, with proficiency in computers, word processing, and administrative skills.

Visit www.libertycareers.com for more information. Background checks/drug-free workplace. EOE.



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