Transitional Care Manager

3 weeks ago


Scottsdale, Arizona, United States HonorHealth Full time
About the Role

We are seeking a highly skilled and compassionate LMSW Transitional Care Manager to join our team at HonorHealth. As a key member of our healthcare team, you will play a vital role in ensuring a smooth transition for patients and their families from acute care settings to post-acute care and back home.

Key Responsibilities
  • Collaborate with patients, families, and healthcare teams to develop and implement comprehensive care plans that meet the unique needs of each individual.
  • Coordinate transitions between levels of care, including hospital to home, post-acute care, and community-based services.
  • Provide patient education and support to ensure a successful transition and optimal health outcomes.
  • Work closely with primary care physicians, specialists, and other healthcare providers to ensure seamless care coordination.
  • Identify and address potential barriers to care, including social determinants of health and access to community resources.
  • Monitor patient progress and adjust care plans as needed to ensure optimal health outcomes.
Requirements
  • Master's Degree in Social Work (LMSW) required.
  • 3 years of progressively responsible experience in a healthcare setting, with a focus on care coordination and transition management.
  • Excellent communication and interpersonal skills, with the ability to work effectively with patients, families, and healthcare teams.
  • Strong analytical and problem-solving skills, with the ability to identify and address complex care coordination challenges.
  • Ability to work independently and as part of a team, with a focus on collaboration and communication.
About HonorHealth

HonorHealth is a nonprofit healthcare system serving the greater Phoenix metropolitan area. We are committed to delivering high-quality, patient-centered care that meets the unique needs of each individual. Our team of dedicated healthcare professionals is passionate about making a difference in the lives of our patients and their families.



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