Transition Coordinator

Lifespan; Town of Providence (NY); On-site; USD 51,000 - 83,000; Full time

Job summary

Lifespan is seeking a Discharge Planning Coordinator in Providence, RI. You will work within a multidisciplinary team to implement discharge arrangements, coordinating with hospitals, nursing facilities, home health agencies, and other post‑acute providers.

Your role ensures efficient transitions and accurate documentation of patient dispositions. You will manage referrals, communicate barriers, and advocate for patient and family needs while complying with organizational policies and regulatory

Qualifications

• Bachelor's degree in health services, health education or business administration is preferred.
• One year of healthcare or human services experience.
• Basic proficiency in Microsoft Office (email, Outlook calendar, keyboard skills).

Responsibilities

• Facilitates transition of patients from hospital to post-discharge settings (SNF, home health, rehab, LTAC, DME) by maintaining caseloads.
• Initiates referrals to facilities and vendors as directed by the Clinical Case Manager.
• Consults with the Clinical Case Manager on placement, communicates barriers, and represents patient/family needs.
• Contacts third-party review agencies for information and prior authorization; updates patient pharmacy info and completes continuity of care documentation.
• Communicates with home care and post-discharge facilities regarding placement needs.
• Performs additional duties to support departmental needs.
• Uses care management software to manage referrals and dispositions and ensure timely follow-up.

Skills

MS Office

Communication

Discharge planning knowledge

Education

Bachelor's Degree in health services/health education/business administration

Tools

Care management software

Job description

SUMMARY:

Reports to the Manager or Director of Discharge Planning. As a member of a multidisciplinary team, and in consultation with Clinical Case Manager, provides assistance to ensure implementation of discharge arrangements for all patients. Functions as liaison between patient/hospital and outside agencies. Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate.

RESPONSIBILITIES

• In accordance with established standards and criteria, facilitates transition of patients from hospital to appropriate post-discharge setting: nursing facility, home health agency, acute rehabilitation, assist with notification and coordination of post-acute follow up medical appointments Long Term Acute Care hospital (LTAC) and/or Durable Medical Equipment (DME) vendor by maintaining caseloads consisting of patients identified as ready or nearing readiness for discharge.


• Initiates referrals to nursing facilities, home health agencies, acute rehabilitation facility, LTAC hospital and DME vendors as tasked by the Clinical Case Manager.


• Consults with Clinical Case Manager regarding the patient placement process and referral outcomes. Communicates barriers and keeps the Clinical Case Manager updated with issues and progress. Represents the needs and preferences of the patients and families during the referral process.


• Contacts third party review agencies as necessary to obtain patient-specific information and prior authorization to appropriately advocate for the patient. Updates the patient pharmacy information for the patients discharging to SNF. Completes continuity of care (COC) document with identified post hospital facility, agency, and vendor information. Assists with pre-authorization and eligibility for services.


• Communicates with home care, post-discharge care facilities and other agencies as relates to patient placement needs.


• Performs additional duties and responsibilities as assigned to support departmental needs.


• Utilizes the care management software program to: Conduct appropriate and timely referrals to post hospital providers and vendors. Provide timely follow-up on provider and vendor responses to referrals, appropriately recording responses when necessary. Notify Clinical Case Manager of facilities acceptance. Place and close referred cases upon discharge, confirming correct disposition code in system. Builds relationships and ensures effective communication with internal and external customers to ensure clarity of placement issues; ensure team is apprised of issues and progress. Participates in ongoing, independent study, education-related professional activities, and affiliations to maintain knowledge of patient care services, third party payor, managed care requirements, and Discharge Planning.

MINIMUM QUALIFICATIONS

BASIC KNOWLEDGE

• Bachelor's Degree with a concentration in health services, health education or business administration is preferred.


• Level of knowledge in healthcare delivery systems and services, clinical issues, discharge planning processes, third party payer regulations and the like, such as may have been obtained through experience in such roles as registered nurse, social worker, discharge planner, case manager, or similar position.


• Knowledge of medical terminology is preferred.

EXPERIENCE

• One year of current relevant healthcare professional experience in healthcare setting or human service agency.


• A basic proficiency in the use of Microsoft office software programs including email and outlook calendar and basic keyboard skills are also required.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

• General hospital environment with occasional stressful conditions associated with patient care.


• Risk of exposure to blood borne pathogens and communicable disease is minimized and controlled by adherence to Hospital Infection Control policy and procedures.


• Must be able to make hospital rounds through various patient care areas either by walking or through some other mobile means.


• Visual acuity and finger dexterity is needed to review medical records, navigate through automated system screens and type on a typical computer terminal keyboard.


• Must be able to lift and or carry up to 10 lbs. in order to transport items from one patient care unit to the next.

SUPERVISORY RESPONSIBILITY

None

PAY RANGE

$50,523.20-$83,345.60

EEO STATEMENT

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

LOCATION

Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903

WORK TYPE

M-F 8:00am - 4:30 pm

WORK SHIFT

Day

DAILY HOURS

8 hours

DRIVING REQUIRED

No