Clinical Care Transition Specialist, RN

Jobtailor; Massachusetts; On-site; USD 70,000 - 100,000; Full time

Job summary

Option Care seeks a licensed RN or Pharmacist to manage referral-source relationships and educate patients and families about discharge services. You will coordinate care transitions and work with hospitals to ensure smooth transitions to home or alternate-site care.

The role includes travel to partner facilities to deliver live education and training, collaborate with Account Managers, and uphold ACHC/URAC standards while delivering high-quality patient care.

Qualifications

• Current state-licensed RN or Pharmacist in practicing state.
• Experience in healthcare with patient care transitions.
• Strong relationship-building with diverse stakeholders.
• Familiarity with ACHC/URAC standards and healthcare compliance.

Responsibilities

• Maintain referral-source relationships and education outreach.
• Educate patients, families, and facility staff about services.
• Coordinate care transitions and discharge planning.
• Travel to partnership facilities to educate and train staff.
• Support data collection and patient tracking during discharge.

Skills

Patient Assessment

Discharge Planning

Infusion Therapy

Data Collection

Medical Record Review

Operational Issue Resolution

Referral Management

Presentation Skills

Microsoft Word

Microsoft Excel

Relationship Management

Communication

Organizational Skills

Team Collaboration

Customer Satisfaction Evaluation

Education

Licensed Registered Nurse (RN)

Licensed Pharmacist

Tools

E-Prescribing

Internet

Email

Microsoft PowerPoint

Job description

• Maintain and grow referral-source relationships to increase sales and patient starts
• Serve as Option Care’s key contact and representative for referral-source education, assistance, and service
• Interact with area service providers to sell Option Care services for discharging patients
• Assess patients selected by hospitals to determine viability for alternative-site care
• Educate patients, families, and facility staff about Option Care services and products
• Provide hands-on, in-person education to patients and caregivers to support timely discharge and therapy independence
• Communicate with agency staff, medical teams, patients, and families throughout discharge to implement treatment plans
• Collect, review, complete, and secure signoff for pre-admission information
• Partner with the Account Manager and Regional Sales Director on area business and growth plans
• Discuss opportunities and progress with the Account Manager and provide feedback on promoting Option Care services
• Deliver educational and promotional programs with Account Manager and marketing staff
• Review medical records for medical history and primary/secondary insurance information and communicate it to patient registration
• Coordinate care transitions with referral sources and internal partners for seamless transitions to home or ATS
• Support data collection, therapy starts, patient tracking, and transfer of orders by phone, fax, and e-prescribing
• Maintain confidentiality of patient and proprietary information and follow legal safeguards
• Provide oversight and input regarding patient assessment, treatment, and transition to home care
• Coordinate communication with other providers
• Arrange special medical supplies or appliances
• Travel to partnership facilities, community hospitals, and medical practice offices to sell services, process referrals, and provide live education and training

Requirements

• Licensed Registered Nurse (RN) or licensed Pharmacist in the state of practice
• At least 2 years of experience in the healthcare industry
• Experience establishing and maintaining relationships with individuals at all levels of the organization, in the business community, and with vendors
• Experience applying knowledge of standard practices for all services offered and current relevant and applicable standards, including ACHC and URAC standards
• Experience providing customer service to internal and external customers, including meeting quality standards and evaluating customer satisfaction
• Basic PC skills and competent use of internet, email, Microsoft Word, Microsoft Excel, and Microsoft PowerPoint
• Experience identifying operational issues and recommending and implementing strategies to resolve and improve processes
• Reliable transportation for travel to care facilities, home visits, and multiple hospitals
• Valid driver’s license and proof of insurance if using a personal vehicle
• Ability to plan, organize, and make presentations
• Hands-on home or alternate site infusion or discharge planning experience preferred
• Experience growing service provider partnerships preferred

Core Competencies

Demonstrates expertise in patient assessment, care coordination, and relationship management within the healthcare industry, with a focus on enhancing patient transitions to home care and alternative-site services. Proficient in delivering educational programs and maintaining compliance with healthcare standards.

Highest-signal resume keywords

• Licensed Registered Nurse (RN)
• Patient Assessment
• Care Coordination
• Customer Service
• Healthcare Industry Experience

ATS Optimization Keywords

Hard Skills

• Patient Assessment
• Discharge Planning
• Infusion Therapy
• Data Collection
• Medical Record Review
• Operational Issue Resolution
• Referral Management
• Presentation Skills
• Microsoft Word
• Microsoft Excel

Soft Skills

• Relationship Management
• Communication
• Organizational Skills
• Team Collaboration
• Customer Satisfaction Evaluation

Certifications & Qualifications

• Licensed Registered Nurse (RN)
• Licensed Pharmacist

Industry Keywords

• ACHC Standards
• URAC Standards
• Home Care
• Healthcare Services
• Patient Care

Tools & Technologies

• E-Prescribing
• Internet
• Email
• Microsoft PowerPoint