Transition Specialist
3 days ago
Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 committed to positively impacting the lives we touch. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized the last two years as one of "America's Fastest-Growing Private Companies" by Inc. 5000 and has earned a "Best Places to Work" award from the Phoenix Business Journal four years in a row.
As one of the country's few fully integrated healthcare providers, APH offers a range of services which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. APH offers customized services for Medicaid, Medicare, and the ACA/Marketplace lines of business.
POSITION SUMMARY
APH is seeking an experienced and patient-focused Transition Specialist. As the Transition Specialist, you will be pivotal in optimizing patient care by developing, implementing, and managing transitional care for our members. Leveraging your expertise, you will ensure safe, effective, and appropriate support with healthcare teams to enhance patient outcomes and promote overall wellness.
This position requires travel in and around Flagstaff, Coconino County, and the surrounding areas to provide in-home and healthcare facility support to our patients.
DUTIES & RESPONSIBILITIES
- To assist clients in their return home from an acute inpatient stay.
- To increase communication with the client by building a face-to-face rapport before they are discharged from the facility to home.
- To capture and update demographic information.
- To help determine potential needs upon discharge.
- To perform in-home safety checks, collect data, and make recommendations to prevent readmissions.
- To build confidence in the care team.
- Demonstrate a positive and professional attitude in providing customer service by being respectful of all clients.
- Work collaboratively within a team setting to provide positive outcomes for clients.
- Participate in forming solutions for presenting problems and determining realistic goals.
- Demonstrate professional, appropriate, and effective communication with clients, families, and other team members to ensure continuity of care.
- Maintain patient confidentiality, following all HIPAA guidelines and regulations.
- You will be required to travel to your assigned areas including patient homes, hospitals, and acute care settings.
- You will also be expected to complete any other duties assigned by the Field Manager.
- Performs other related duties as assigned by management.
- One year of related healthcare experience.
- Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint).
- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability.
- Must be a team player, organized, and able to handle multiple projects.
- Excellent oral and written communication skills.
- Strong interpersonal and organizational skills.
- Clean driving record.
- High school diploma or general education degree (GED) is required.
- Associate degree preferred.
- Certified Nursing Assistant, Medical Assistant, or Emergency Medical Technician certificate is highly preferred.
- Paid Orientation and Training
- Insurance - Medical, Dental, Vision, and Life
- 401k Plan - 3% match
- Employee Assistance Program
- Tuition Reimbursement
- Continued Education Support
- Mileage Reimbursement (if applicable)
- Referral Bonuses
- Paid Holidays (9 days)
- Paid Time Off (15 days)
- Paid Volunteer Hours
- Courage - To have the courage to the right thing at the right time.
- Ownership - To take ownership of every issue you touch.
- Respect - To respect yourself, co-workers, and for those whom you care.
- Excellence - To be excellent in all that you do.
- Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
- Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
- Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
- Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
- Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
- Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
- Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
- Required to travel up to 1.5 hours one way.
- Occasionally required to stand.
- Occasionally required to walk.
- Continually required to sit.
- Occasionally required to climb, balance, bend, stoop, kneel, or crawl.
- Continually required to talk or hear.
- While performing the duties of this job, the noise level in the work environment is usually moderate.
- May occasionally lift and /or move more than 30 pounds.
- Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.
APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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