Patient Care Transition Specialist

Providence at Home with Compassus; Anaheim (CA); On-site; USD 48,000 - 73,000; Full time

Benefits offered by this job

Competitive pay

Flexible time off

Tuition reimbursement

Wellness programs

Job summary

Providence at Home with Compassus seeks a Patient Transition Coordinator to streamline care transitions by coordinating referrals to hospice, home health, home infusion, and palliative services. The role works with Care Transition Coordinators to ensure timely services and supports Compassus values of compassion, integrity, excellence, teamwork, and innovation.

You will organize medical records, determine post-acute needs, and partner with intake teams across Compassus/Ascension at Home.

Qualifications

• Bachelor's degree in a health-related field preferred; equivalent combination of education and experience considered.
• Minimum of one year experience in a related health care setting preferred.
• One year experience in home health, hospice and/or palliative preferred.
• Prior EMR experience preferred.
• Knowledge of home health, hospice, and palliative eligibility preferred.

Responsibilities

• Organizes, tracks, and builds a complete medical record for patient transition to home health providers and confirms start of care (SOC).
• Identify post-acute care needs and collaborate with the Care Transition Coordinator.
• Collaborate with all Compassus/Ascension at Home intake teams.
• Complete the transition of care, including submission of referrals and securing outside agency placement if needed.
• Organize and prioritize large volumes of information.
• Provide exceptional customer service to patients, families, and referral sources.
• Handle confidential and non-routine information.
• Create general correspondences, memos, charts, tables, graphs, and presentations with attention to detail.
• Perform other duties as assigned.

Skills

English language

Attention to detail

Customer service

Education

Bachelor's degree in a health-related field

Job description

Providence at Home with Compassus seeks a Patient Transition Coordinator to streamline care transitions by coordinating referrals to hospice, home health, home infusion, and palliative services. The role works with Care Transition Coordinators to ensure timely services and supports Compassus values of compassion, integrity, excellence, teamwork, and innovation.

You will organize medical records, determine post-acute needs, and partner with intake teams across Compassus/Ascension at Home.