Transition of Care Coordinator; LPN

Paylocity; Canal Fulton (OH); On-site; USD 52,000 - 76,000; Full time

Job summary

Community Health Care Canal Fulton in Ohio is seeking an in-office Transition of Care Coordinator (LPN) to help patients move from hospital to home and improve outcomes. You will assess post-discharge needs and coordinate home care or medical equipment as needed.

Work with hospital-based transition of care nurses and staff, act as patient advocate, and document care throughout the patient’s stay and after discharge using multiple EHR platforms.

Qualifications

• LPN license required.
• Knowledge of area hospital systems and skilled nursing facilities; medication reconciliation.
• Ability to work across multiple Electronic Health Record platforms.

Responsibilities

• Assess and identify patient needs post-discharge.
• Coordinate patient care such as home care or medical equipment.
• Work collaboratively with hospital-based transition of care nurses and staff.
• Act as patient advocate.
• Identify patients who have had a transition of care.
• Contact patients within 48 hours of inpatient discharge or within 7 days of Emergency Room visit.
• Follow patient course of stay while in Skilled Nursing Facility until discharge to home.
• Retrieve patient records from multiple hospital systems, review records, update patient chart.
• Concurrent documentation in telephone encounters in patient chart.
• Refer patients to long-term care management when appropriate.

Skills

Clinical decision making

Critical thinking

Communication

Teamwork

Education

Licensed practical nurse (LPN) license

Job description

All Jobs > Transition of Care Coordinator; LPN

Community Health Care is a privately owned corporation that has a 40-year history of providing our patients with the highest quality of innovative, comprehensive health care, and health care services, that are compassionate, support, personal, convenient, and cost effective. We are actively engaged in the communities that we serve and strive to recruit the finest staff possible, giving maximum support and encouragement to foster growth and pride in the organization.

Community Health Care Canal Fulton is looking for an in-office Transition of Care Coordinator (LPN) with a passion for helping others by coordinating patient transitions of care from an inpatient setting to improve patient care and outcomes. Our office is energetic, team oriented, and dedicated to providing excellent patient-centered care.

Responsibilities:

Patient care

• Assess and identify patient needs post-discharge
• Coordinate patient care such as home care or medical equipment
• Work collaboratively with hospital-based transition of care nurses and staff
• Act as patient advocate
• Identify patients who have had a transition of care
• Contact patients within 48 hours of inpatient discharge or within 7 days of Emergency Room visit
• Follow patient course of stay while in Skilled Nursing Facility until discharge to home
• Retrieve patient records from multiple hospital systems, review records, update patient chart
• Concurrent documentation in telephone encounters in patient chart
• Refer patients to long-term care management when appropriate

Requirements:

• Education: Licensed Practical Nurse (LPN)
• Specialized knowledge: comprehensive knowledge of area hospital systems and skilled nursing facilities; medication reconciliation; ability to work in multiple Electronic Health Record platforms
• Skills: clinical decision making; critical thinking for individualized patient care; ability to teach others, including patients, peers, and staff
• Abilities: self-motivated; strong verbal and written communication skills; flexible; teamwork within individual offices and care management team