Care Transitions Specialist

3 weeks ago


San Antonio, Texas, United States Frontier Home Health and Hospice Full time
Overview

At Frontier Home Health and Hospice, we're committed to delivering exceptional patient care in the comfort of their own homes. As a national leader in home-based care, we're seeking a dedicated and compassionate Care Transitions Coordinator to join our team.

Responsibilities
  • Assist patients in navigating post-acute care, ensuring a seamless transition from acute care to home-based services.
  • Assess, plan, implement, coordinate, monitor, and evaluate options and services to provide a safe and effective transition plan.
  • Integrate evidence-based clinical guidelines and preventative measures to promote quality and efficiency in post-acute care.
  • Promote adherence to post-acute plans and ensure ordered services are completed.
  • Represent Frontier Home Health and Hospice in transitional care activities and strategic relationships with health systems, hospitals, and physician groups.
  • Monitor execution of transitional care services through ongoing quality assurance visits with referral sources.
  • Meet and/or exceed referral and admission goals.
Qualifications
  • A graduate of an approved school of nursing or therapy, licensed in the state of employment.
  • A minimum of 2-3 years of field experience, preferably in home health or hospice care.
  • Excellent communication skills, with the ability to build relationships and interact well with diverse individuals.


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