Care Transitions Specialist — Home Health & Hospice

Res-Care, Inc.; San Antonio (TX); Vor Ort; USD 60.000 - 90.000; Vollzeit

Zusammenfassung

Adoration Health in Texas is seeking a Care Transition Coordinator to facilitate smooth transitions from healthcare facilities to home health or hospice care. You will evaluate eligibility, coordinate care plans, and ensure services—including DME and infusion—are arranged per agency protocols and patient needs.

As a liaison between the agency, referral sources, and providers, you will manage communication, documentation, and patient education to support market growth while maintaining financial

Qualifikationen

• Minimum: 1 year in home health or hospital-based case management.
• Licensure required in RN, LPN, SW or PT in state of practice.
• Valid driver's license and reliable transportation.

Aufgaben

• Achieve monthly production goals and MC admissions targets for assigned locations.
• Plan weekly, monthly, and quarterly strategies to increase market share.
• Evaluate patients and physician orders for home care eligibility per guidelines.
• Conduct face-to-face patient transitions to educate and identify the PCP responsible for the plan of care.
• Present identified patient needs to the Executive Director for branch approval and complete encounter documentation.
• Coordinate transfer orders and ancillary services (e.g., DME, infusion) after patient acceptance.
• Educate patients on post-discharge physician appointments, prescriptions, and medication regimens.
• Act as liaison between the agency and healthcare providers for new referrals and existing patients transferred to hospitals.

Kenntnisse

Case management experience

Communication skills

Interpersonal skills

Ausbildung

RN/LPN/SW/PT licensure

Jobbeschreibung

Adoration Health in Texas is seeking a Care Transition Coordinator to facilitate smooth transitions from healthcare facilities to home health or hospice care. You will evaluate eligibility, coordinate care plans, and ensure services—including DME and infusion—are arranged per agency protocols and patient needs.

As a liaison between the agency, referral sources, and providers, you will manage communication, documentation, and patient education to support market growth while maintaining financial