Senior Inpatient Transition of Care Coordinator, LAMC
2 weeks ago
Summary
The inpatient transition of care coordinator is responsible for assisting our members with the transition from the Acute/ SNF setting to home by ensuring they are connected with their PCP for their post discharge appointment. The coordinator also ensures the Primary Care Physician is aware of the change in level of care for their members and that they receive medical records accordingly so that they can provide adequate care in the outpatient setting.
Duties and Responsibilities
· Retrieves daily Inpatient Notification of admission reports and ensures they’re being sent to the PCP across ALL IPA’s for notification of admission on their respective members.
· Retrieves daily Inpatient Discharge Reports and make sure they’re being sent to PCP’s across all IPA’s for notification of discharge on their respective members.
o Includes discharge date and discharge disposition on report
o Enters date notification of admission was sent to PCP in EZCAP notes title “TOC COORDINATION”
· Sorts the discharges and arranges post discharge follow up appointment with respective PCPs;
o Done either via fax, email or direct call to the PCP depending on PCP preference
o Contact the member to notify them of the appointment date and time. Inquires if transportation is needed or if the member has any other barrier to access their appointment.
§ If barriers are identified endorses to nurse/ DCP and HRCM for f/up
o Documents appointment details and notification to patient in EZCap “TOC COORDINATION” notes
· If hospital access is available, the coordinator prints and sends available medical records for PCP office.
· If access issue to PCP is identified (Member is unable to obtain an appointment at their PCP within 7 days of discharge) - The TOC coordinator redirects the patient to one of the post discharge clinics (VPRES, DTLA, Dr. Tehrani for TCC)
· Faxes / Emails Medical Records to PCP (discharge summaries, consultation reports, and other pertinent information available from acute hospitals)
o If PCP has webportal access they can retrieve Records directly from INPT admission.
· Archives TOC packet when they come in and after they are faxed to the PCP.
· Documents UDF fields 13, 14, 15, and 19 of the appointment dates and time the PCP and member were notified of the post discharge follow up while still in the inpatient setting prior to discharge.
· Creates a good working and open communication with the PCP clinic / Post Discharge clinic team.
· Participates in special projects as required
· Assist Transition of Care lead in overseeing Transition of Care Team
· Assist Transition of Care lead in creating and generating reports for compliance, track and trend referrals, monitor team workload/ratio
· Assist Transition of Care lead with leading weekly meetings for the Transition of Care Teams
· Assist Transition of Care Lead with any adhoc requests from clients related to Transition of Care
Minimum Job Requirements
· High school graduate required, Associates degree or higher preferred.
· Knowledge of Healthcare and Managed Care required.
Skill and Abilities
· Typing 45 word per minutes with accuracy.
· Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
· Ability to deal work independently and can think unconventionally
· Ability to work in a multi-task, high stress environment.
· Ability to meet deadlines
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Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob DescriptionSummaryThe inpatient transition of care coordinator is responsible for assisting our members with the transition from the Acute/ SNF setting to home by ensuring they are connected with their PCP for their post discharge appointment. The coordinator also ensures the Primary Care Physician is aware of the change in level of care...
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