Transitional Care Coordinator
1 month ago
Job Category:
Behavioral Health, Counseling, and ClergyWork Shift/Schedule:
VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:
Job Summary
Performs a wide range of support services for the Case Management staff. Assists the RN Case Manager and Social Worker with discharge planning, continuum placement, communication with insurance companies and gathering of data. This position may also be asked to work collaboratively with the physician and other members of the health care team, supports patient care monitoring, coordination and facilitation of patient care. Promotes quality outcomes, team accountability, productivity, and serves as a link between the RN Case Manager, Social Worker, patient, provider, payor, and community resources. Demonstrates good communication skills, judgment, and maturity with patients, staff, and personnel. Interacts with the patients in the neonate, infant, child, adolescent, adult and geriatric age groups. Performs clinical duties in accordance with population specific guidelines and adheres to the National Patient Safety Goals as outlined in the policy and procedures. Provides cross coverage in all settings as required, including weekend rotation. This position will follow identified patients for a period of time post-discharge.
Minimum Job Qualifications
Licensure or other certifications:
Educational Requirements: High School Diploma or GED.
Minimum Experience: Two (2) years of healthcare experience.
Other:
Preferred Job Qualifications
Preferred Licensure or other certifications: Current Georgia LPN license.
Preferred Educational Requirements: Licensed Practical Nurse with an active Georgia license preferred or Associates Degree in the Health or Human Services.
Preferred Experience:
Other:
Job Specific and Unique Knowledge, Skills and Abilities
Good verbal, written, and interpersonal skills
Computer knowledge and the ability to collect data
Demonstrates the ability to think 'outside of the box' and consistently creates new and effective solutions to today's problems and opportunities
Consistently demonstrates a 'sense of urgency' in his/her work while mindful of the pillars and financial stewardship opportunities
Essential Tasks and Responsibilities
Supports a collaborative practice environment utilizing a team approach to ensure coordination of services and enhance continuity of patient care. Actively supports Case Management/Social Worker role. Documents activities in patient record in a consistent and timely manner to include progress toward goals, discharge planning and continuum placement. Responds to all referrals on the same day received as evidenced by documentation in the medical record.
Performs all tasks in a timely manner and assists in monitoring length of stay. Reviews the patient's medical record for appropriate documentation as requested. Assertively seeks nursing home placement once the need is identified through timely form completion, faxing, and expedient communication with all parties involved. Obtains post-acute authorizations as required. Arranges appropriate discharge services for patients per physician orders including but not limited to: Hospice, DME, Home Health Services, indigent medications from the pharmacy, transportation home, follow-up appointments, etc. Completes the transfer forms for patients moving within and outside the continuum of care (ex. 4W, TCC or other hospital). Prepares DMA-6 from the medical record for patients going to SNF. Involves synthesizing information from the medical record and completing the appropriate forms. Provides the requested information to nursing homes and third-party review agencies and provides follow-up for successful patient placement. Arranges DME and/or home health services for patients per physician orders. Arranges post-acute transportation in accordance with medical necessity, payor benefits, indigent process (ex. Taxi, Lyft). Provides the requested information to assisted living facilities and personal care homes and provides follow-up for successful patient placement. Serves as an advocate for the patient while assisting the patient in navigating the health care delivery system. May require face to face interaction at all campuses or patient location. Facilitates communication among the patient, their families/caregivers, health care providers, post-acute provider to enhance cooperation while planning for and meeting the health care needs of the patient. Facilitates post-discharge follow-up by scheduling appointments, transport, and referrals to post-acute providers.
Actively supports a customer service oriented environment to continually enhance customer satisfaction. Cooperatively works with the Case Manager or Social Worker, nursing, and physician to achieve optimal outcomes in the execution of treatment/discharge plans. Communicates directly with the Case Managers and Social Workers to ensure collaborative practice. Provides patient and family information as directed by the Case Manager or Social Worker in regard to their financial responsibility of inpatient and post-hospital services.
Works all scheduled shifts including weekend rotation and remote coverage.
Actively works as a team collaborator, promotes a positive work culture, and contributes to staff engagement. Participates in offering opportunities for growth and supports redirecting negative talk.
Other duties as assigned.
Follows identified patients for a period of time post-discharge to mitigate readmission and ensure appropriate use of resources.
Physical Demands
Weight Lifted: Up to 20 lbs, Frequently 31-65% of time
Weight Carried: Up to 20 lbs, Frequently 31-65% of time
Vision: Moderate, % of time
Kneeling/Stooping/Bending: Frequently 31-65%
Standing/Walking: Frequently 31-65%
Pushing/Pulling: Frequently 31-65%
Intensity of Work: Frequently 31-65%
Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
-
Transitional Care Coordinator
3 weeks ago
Braselton, Georgia, United States Northeast Georgia Health System, Inc Full timeAbout the RoleWe are seeking a highly skilled Transitional Care Coordinator to join our team at Northeast Georgia Health System, Inc. As a key member of our healthcare team, you will play a vital role in ensuring seamless transitions for our patients from hospital to home or other care settings.Job SummaryThe Transitional Care Coordinator will provide...
-
Transitional Care Coordinator
2 weeks ago
Braselton, Georgia, United States Northeast Georgia Health System, Inc Full timeAbout the Role:We are seeking a skilled Transitional Care Coordinator to join our team at Northeast Georgia Health System, Inc. This role is a critical part of our healthcare team, responsible for supporting the Case Management staff in providing exceptional patient care.Job Summary:The Transitional Care Coordinator will perform a wide range of support...
-
Nurse Practitioner
3 weeks ago
Braselton, Georgia, United States Northeast Georgia Health System Full timeJob Title: Registered NurseAbout the Role:Northeast Georgia Health System is seeking a skilled Registered Nurse to join our team. As a Registered Nurse, you will be responsible for providing high-quality patient care and working collaboratively with our interdisciplinary team to achieve exceptional patient outcomes.Job Summary:This is a challenging and...
-
Market Development Manager
1 month ago
Braselton, Georgia, United States Georgia Hospice Care Full time{"title": "Market Manager", "description": "OverviewBecome a Market Manager with Georgia Hospice Care and make a meaningful difference in the lives of others and in the community.We are seeking a skilled Market Manager to join our team who are committed to serving our patients with compassion and integrity. The Market Manager is responsible for coordinating...
-
Market Development Manager
2 months ago
Braselton, Georgia, United States Georgia Hospice Care Full time{"title": "Market Manager", "description": "OverviewBecome a Market Manager with Georgia Hospice Care and make a meaningful difference in the lives of others and in the community.We are seeking a skilled Market Manager to join our team who are committed to serving our patients with compassion and integrity. The Market Manager is responsible for coordinating...
-
Market Development Manager
2 months ago
Braselton, Georgia, United States Georgia Hospice Care Full time{"title": "Market Manager", "description": "OverviewBecome a Market Manager with Georgia Hospice Care and make a meaningful difference in the lives of others and in the community.We are seeking a skilled Market Manager to join our team who are committed to serving our patients with compassion and integrity. The Market Manager is responsible for coordinating...
-
Market Development Manager
2 months ago
Braselton, Georgia, United States Georgia Hospice Care Full time{"title": "Market Manager", "description": "OverviewBecome a Market Manager with Georgia Hospice Care and make a meaningful difference in the lives of others and in the community.We are seeking a skilled Market Manager to join our team who are committed to serving our patients with compassion and integrity. The Market Manager is responsible for coordinating...
-
Registered Nurse
1 month ago
Braselton, Georgia, United States Northeast Georgia Health System Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our team at Northeast Georgia Health System. As a Clinical RN, you will provide high-quality patient care and work collaboratively with our interdisciplinary team to achieve excellent patient outcomes.ResponsibilitiesProvide direct and safe patient care based on the nursing processCoordinate care...
-
Market Development Manager
2 months ago
Braselton, Georgia, United States Georgia Hospice Care Full timeAbout the RoleWe are seeking a skilled Market Manager to join our team at Georgia Hospice Care. As a Market Manager, you will play a critical role in coordinating and generating new hospice business in existing and new accounts, identifying new markets, and maintaining existing service.Key ResponsibilitiesCoordinate and generate new hospice business in...
-
Market Development Manager
2 months ago
Braselton, Georgia, United States Georgia Hospice Care Full timeMarket ManagerAt Georgia Hospice Care, we're seeking a skilled Market Manager to play a vital role in our team. As a Market Manager, you'll be responsible for developing and implementing strategies to grow our hospice business in existing and new markets. This involves identifying new opportunities, building relationships with healthcare professionals, and...
-
Nurse Practitioner
1 month ago
Braselton, Georgia, United States Northeast Georgia Health System Full timeJob Title: Resident RNAbout the Role:We are seeking a highly skilled and compassionate Registered Nurse to join our team as a Resident RN. As a key member of our nursing staff, you will provide high-quality patient care and contribute to the development of our nursing team.Responsibilities:Provide direct and safe patient care based on the nursing...
-
Nurse Practitioner
3 weeks ago
Braselton, Georgia, United States Northeast Georgia Health System Inc Full timeAbout the RoleWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Northeast Georgia Health System Inc. As a Registered Nurse, you will play a vital role in providing exceptional patient care and contributing to the success of our healthcare team.Key ResponsibilitiesProvide direct and safe patient care based on the nursing...
-
Registered Nurse RN
1 month ago
Braselton, United States Northeast Georgia Health System, Inc Full timeJob Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role:Job SummaryResponsible for providing comprehensive assessment, planning, implementation and overall evaluation of individual patient needs; Works collaborate...
-
Respiratory Care Professional
2 months ago
Braselton, Georgia, United States Northeast Georgia Health System, Inc Full timeJob SummaryWe are seeking a highly skilled Respiratory Therapist to join our team at Northeast Georgia Health System, Inc. As a Respiratory Therapist, you will be responsible for administering and coordinating various treatments related to respiratory problems for patients of all ages. You will work closely with our interdisciplinary team to provide...
-
Nurse Practitioner
3 weeks ago
Braselton, Georgia, United States Northeast Georgia Health System, Inc Full timeJob Title: Registered Nurse - Evening ShiftAbout the Role:We are seeking a skilled Registered Nurse to join our team at Northeast Georgia Health System. As a Registered Nurse, you will be responsible for providing high-quality patient care and working collaboratively with our interdisciplinary team to achieve excellent patient outcomes.Key Responsibilities:*...
-
Registered Nurse
3 weeks ago
Braselton, Georgia, United States Northeast Georgia Health System Full timeJob Title: Registered NurseJoin our team of dedicated healthcare professionals at Northeast Georgia Health System as a Registered Nurse in our Braselton Geriatric Medical Unit. As a key member of our interdisciplinary team, you will provide high-quality patient care to our geriatric patient population.Job SummaryWe are seeking a skilled and compassionate...
-
Registered Nurse
5 days ago
Braselton, United States Northeast Georgia Health System Full timeJob Category: Nursing - Registered Nurse Work Shift/Schedule: 12 Hr Evening - Morning Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Capable clinician with previous specialty experience preferred, focused on expanding knowledge and skills. Consistently provides...
-
Nurse Practitioner
1 month ago
Braselton, Georgia, United States Northeast Georgia Health System Full timeJob Title: Registered NurseAbout the Role:Northeast Georgia Health System is seeking a skilled Registered Nurse to join our team. As a Registered Nurse, you will be responsible for providing high-quality patient care and working collaboratively with our interdisciplinary team to achieve exceptional patient outcomes.Job Summary:This is a challenging and...
-
Critical Care Registered Nurse
3 weeks ago
Braselton, Georgia, United States Northeast Georgia Health System Inc Full timeJob Title: Critical Care Registered Nurse About the Role: We are seeking a skilled and compassionate Critical Care Registered Nurse to join our team at Northeast Georgia Health System Inc. As a Critical Care Registered Nurse, you will play a vital role in providing high-quality patient care to critically ill patients. Your expertise and dedication will...
-
Critical Care Registered Nurse
1 month ago
Braselton, Georgia, United States Northeast Georgia Health System Inc Full timeAbout the RoleWe are seeking a highly skilled and experienced Registered Nurse to join our Critical Care team at Northeast Georgia Health System Inc. As a critical care nurse, you will be responsible for providing high-quality patient care to critically ill patients, working collaboratively with the interdisciplinary team to develop and implement...
