Care Transition Specialist
1 day ago
Care for our members with compassion and dedication as a Transition of Care Associate at CVS Health.
About the RoleWe are seeking a skilled and compassionate Transition of Care Associate to join our team. As a Transition of Care Associate, you will play a critical role in ensuring our members receive seamless care transitions, facilitating post-discharge goal attainment, and providing clinical assistance to determine appropriate services and supports.
Responsibilities- Complete post-discharge questionnaires and ensure members have filled/received their medication(s) and understand how to take their ordered medications.
- Benefit education and monitoring members in low CM level for alerts or changes in condition to be transitioned back to RN.
- Complete post-discharge calls and required assessments (RAP), medication reconciliation (if within scope of practice), fall assessment if fall risk identified.
- Management of warm transfers from concierge and engagement hub.
- Provides clinical assistance to determine appropriate services and supports due to member's health needs.
- Evaluation of health and social indicators and identifies and engages barriers to achieving optimal member health.
- Uses discretion to apply strategies to reduce member risk.
- Facilitates overall care coordination with the care team to ensure member achieves optimal wellness within the confines of the member's condition(s) and abilities to self-manage.
- 2+ years LPN nursing experience.
- Unrestricted and active compact LPN/LVN licensure in state of residence.
- Preferred experience: 3+ years LPN nursing experience, self-motivated, energetic, detail-oriented, highly organized, tech-savvy Licensed Practical Nurses, discharge planning experience, advanced proficiency in Microsoft Word, Excel, and Outlook.
CVS Health offers a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. We are an equal opportunity and affirmative action employer, committed to diversity and inclusion in the workplace.
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