Post Acute Transition Specialist
1 week ago
About the Role
CarePartners is seeking a highly skilled Post Acute Transition Specialist to join our team. As a key member of our post-acute care team, you will play a critical role in ensuring seamless transitions for patients across the continuum of care.
Key Responsibilities
- Establish and maintain relationships with hospitals, skilled nursing facilities, assisted living facilities, ambulatory and inpatient care managers, physicians, payors, and other community referral sources.
- Provide education and promote collaboration to ensure high-quality, efficient care for patients.
- Ensure appropriate patient placement through screenings and assessments in collaboration with SNF Discharge Planners & Inter-Disciplinary Teams, Ambulatory Care Managers, MHP Care Managers, BPCI Transitions Care Coordinator, practice referral coordinators, physicians, and CarePartners Post-Acute service line team members.
- Work closely with Post-Acute providers, SNFs, and physician practices in the clinically integrated network (CIN), hospital care managers, Mission Palliative Care team, etc.
- Collaborate with health system and community colleagues to ensure quality-driven, best practice across the continuum by utilizing essential activities of care management in direct patient contact.
- Maximize positive financial outcomes for designated patient populations by facilitating appropriate Post-Acute placement, participating in Goals of Care/Advanced Care Planning dialogue, and effective transitions to prevent readmissions and lower total cost of care through the appropriate utilization of Post-Acute services.
Requirements
- Bachelor of Science in Nursing; Degree in Physical, Occupational, or Speech Therapy; Social Work; Psychology; Health Sciences or related field.
- Master's in Nursing or Master's degree in related field.
- Required License/Certifications: If RN, must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. If applicable, acquires and maintains National Nursing Certification in Case Management (ACM or CCM, or ANA approved certification). If applicable, license in therapy discipline.
- Required Experience: Minimum of two years recent experience in health-related field.
About CarePartners
CarePartners Health Services is a healthcare organization serving western North Carolina and offering a full continuum of post-acute care. We are dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability, or issues related to aging.
We are a member of Mission Health, an operating division of HCA Healthcare. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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