Clinical Transitions Outreach Coordinator

Optum; Danville (PA); On-site; USD 58,000 - 76,000; Full time

Job summary

LHC Group is seeking a Care Transitions Coordinator in Pennsylvania to drive seamless discharge transitions from facilities to post-acute care. You will partner with discharge planners to verify orders and coordinate services for patients transitioning to our agency.

This role focuses on growing market share, educating clinicians about our services, and ensuring patient needs are met within budget. Strong communication and coordination with healthcare providers are essential.

Qualifications

• Experience in sales and market development for healthcare services.
• Ability to educate and influence medical professionals on services.
• Strong coordination between discharge planning and post-acute care.
• Proven ability to manage budgets and track expenses.

Responsibilities

• Achieve monthly Personal Production Goals and MC admit budgets while managing a Sales/Marketing budget.
• Execute weekly, monthly, and quarterly strategy to increase market share in assigned locations.
• Evaluate patient/orders for home care suitability per Right of Choice.
• Initiate face-to-face patient transitions and educate on agency services and PCP follow-up.
• Present agency leadership with patient needs to obtain branch approval and complete encounter docs.
• Coordinate transfer orders and ancillary services (DME, Infusion) and educate on orders.
• Ensure patient needs identified by referral source are documented and met.
• Collaborate with Executive Director/Clinical Director to drive growth aligned with referral community needs.
• Handle sales admin duties: BOA expense entries, payroll timesheets, PTO, weekly meetings, communications.
• Educate patients on post-facility follow-up and medication adherence.
• Serve as liaison between the agency and healthcare providers for new and existing patients.
• Inform discharge planning of active patients transferring from home health and coordinate resumption of care.
• Provide follow-up feedback to case management on readmissions and non-admit decisions.
• Maintain patient confidentiality at all times.
• Know service features/benefits; articulate advantages and educate the medical community through sales calls and in-services.

Skills

Sales strategy

Account development

Educating medical community

Patient transition coordination

Budget management

Tools

Home Care Home Base

Job description

As the Care Transitions Coordinator (CTC), you will be responsible for executing the sales strategy to increase company market share through account development and educating the medical community on services provided by the company while operating within set budget. The CTC's primary responsibility is to facilitate a seamless transition for patients discharging from a facility setting to the care of an of our agency for post-acute care needs. You will work directly with the facility discharge planner to verify the receipt of orders and the agency's ability to meet the needs of the patient.

Primary Responsibilities

• Achievement of monthly Personal Production Goals and MC admit budgets for assigned locations while being a good steward of the company's financial resources by projecting a return on monies spent and managing to a Sales and Marketing expense budget
• Successfully executes a weekly, monthly, and quarterly strategy to increase market share within facility assigned
• Following Right of Choice, evaluates patient and orders for suitability for home care
• Initiates face-to-face patient transition to educate the patient on LHC agency and identifies primary care physician to follow the plan of care
• Presents agency Executive Director with identification of patient needs to obtain branch approval and acceptance and completes CTC encounter documentation in Home Care Home Base
• On acceptance, coordinates organization of transfer orders, coordinates other ancillary services for the patient (DME | Infusion) as needed, educates patient on home care/ Hospice orders received from the referral source and home care and/ or hospice services
• Acceptance to ensure all patient needs identified by the referral source are documented and met by the agency
• Works closely with the Executive Director/Clinical Director to drive a vision of growth by focusing every team member on the needs and expectations of the referral community and patients
• Responsible for all sales administration duties including, but not limited to, BOA expense entry compliance, BOA with associated Policies and Procedures, payroll time sheets, Weekly 3LS meetings with strategic updates, PTO requests, Attends all required sales calls and company provided in services, timely cell phone and e-mail correspondence
• Educates patient on importance of the post facility discharge follow up appointment with the physician, on obtaining all necessary prescriptions prior to discharge from the hospital and confirm patient's understanding of medication, pharmacy, and delivery method
• Serves as a liaison between the LHC Group agency and all involved healthcare providers of newly referred patients as well as existing patients transferred to the hospital from the home health agency
• Communicates to discharge planning any active patients that transfer from home health into a Facility and coordinates resumption of care with patient prior to discharge if applicable orders are obtained
• Provides follow up feedback to case management team regarding status of readmissions and any non-admit decisions based on information provided to them by the LHC agency
• Observes patient confidentiality at all times
• Knows the features and benefits of the services provided by LHC Group. Is able to articulate competitive advantages, specialty programs, and Medicare guidelines. Educates the medical community about the services of our organization through effective sales calls and in-services with the appropriate tools and literature