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Healthcare Transition Specialist

2 months ago


Wilmington, Delaware, United States Liberty Health Full time
About the Role

Liberty Health is seeking an experienced Transitional Care Specialist to join our team. As a Transitional Care Specialist, you will play a critical 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, trend, and report root causes of transitional care issues while understanding the importance of urgency in developing and implementing leading practice solutions to achieve client goals.
  • Communicate continuously with facility administration or designee to ensure coordination of information and maintain accuracy of Transitional Care planning.
  • Support and assist Business Development Team members with the development of Educational programs for Referral Sources and provide Clinical Training on the Transitional Care Program.
  • Serve as a resource to review and consult available patient information related to the case to determine if hospice care is appropriate across the enterprise.
  • Coordinate and communicate with hospice agency leadership and referral sources to promote Transitional care coordination and a timely admission process.
  • Provide company-wide training and support as needed.
  • Confer with the Medical Director or attending physician regarding patient hospice determination criteria.
  • Obtain physician orders and Certification of Terminal Illness, as well as other admission documentation as required.
  • Serve as a Clinical Liaison between assigned territories with coordination of referrals/admission.
  • Complete an initial review of records and discuss hospice services with patients and families to determine hospice needs.
  • Serve as a hospice resource for the assigned territory to promote the continuum of care.
  • Use health assessment data to determine nursing diagnosis.
  • Assist the marketing department with data analysis using Liberty's Business Intelligence Software.
  • Perform other related duties as required and assigned.
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.
  • 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.
  • Must demonstrate 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.
  • Must possess strong attention to detail and pleasant telephone manner.
  • Proficient knowledge of computers, word processing, especially Word and Excel.
  • Strong administrative and keyboarding skills. Must have a valid drivers' license.