Care Transition Specialist

2 days ago


Jupiter, Florida, United States Enhabit Home Health & Hospice Full time
Overview

Enhabit Home Health & Hospice is seeking a dedicated and goal-driven Registered Nurse (RN) or Physical Therapist (PT) to fill the role of Care Transition Coordinator. This position plays a vital role in ensuring a seamless transition from acute care to home for our patients, promoting quality and efficiency in the delivery of post-acute care.

Responsibilities
  • Assist patients in navigating post-acute care options and services.
  • Assess, plan, implement, coordinate, monitor, and evaluate options and services to provide a safe transition from acute care to home for home health or hospice services.
  • Integrate evidence-based clinical guidelines, preventative guidelines, and protocols in the development of transition plans that are patient-centered.
  • Promote adherence to post-acute plans and ensure ordered services are completed.
  • Represent Enhabit in transitional care activities and strategic relationships with health systems, hospitals, inpatient facilities, 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 and licensed in the state of employment.
  • A minimum of 2-3 years of field experience.
  • A strong understanding of customer and market dynamics, as well as transitional care best practices.
  • A good understanding of Federal, State, and local laws and regulatory guidelines governing home health and hospice operations.
  • Excellent communication skills and the ability to interact well with diverse individuals.
  • Experience with territory management, strong presentation skills, performance management, building relationships, emphasizing excellence, negotiation, results-driven, sales planning, and execution.
About Enhabit Home Health & Hospice

We are an equal opportunity employer committed to promoting diversity and inclusion in the workplace. We celebrate the unique differences that make our community extraordinary and strive to create a work environment that supports, encourages, and motivates all individuals without discrimination.



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