Transitional Care Associate

Banner Health Corporate; Grand Junction (CO); On-site; USD 76,851,000 - 115,247,000; Full time

Benefits offered by this job

Weekend shift differential ($2/hr)

Job summary

Banner North Colorado Medical Center is seeking a Transition Care Assistant to guide patients and families through discharge planning and post-acute care coordination. You will work with physicians, nurses, nutritionists, and pharmacists to ensure seamless transitions and provide crucial support throughout the process.

The role requires a Bachelor’s degree or higher in social work or related field, or licensure as a practical nurse or respiratory therapist, with strong communication and

Qualifications

• Bachelor’s degree in social work or related field, or a licensed nurse/therapist.
• Knowledge of government/community resources (Medicare/Medicaid).
• Strong communication, customer service and time management.

Responsibilities

• Guide discharge planning and transition of care with the care team.
• Review daily holdovers and participate in multidisciplinary rounds.
• Communicate discharge plans and provide family support.
• Document interventions in the medical record and coordinate post-acute care.
• Perform follow-up calls and connect patients with community resources.
• Maintain knowledge of Medicare/Medicaid benefits for transition planning.

Skills

Communication

Customer service

Time management

Education

Bachelor's degree in social work or related

Licensed Practical Nurse

Licensed Respiratory Therapist

Job description

Primary City/State: Greeley, Colorado

Department Name: Case Mgmt-Hosp

Work Shift: Day

Job Category: Clinical Care

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of,

Are you passionate about making a meaningful difference in patients' lives? We're seeking a dedicated Transition Care Assistant with a Bachelor's Degree and experience in hospital/healthcare settings or a social work background to join our collaborative interdisciplinary team. In this vital role, you'll guide patients and families through the discharge process—from reviewing daily holdovers and attending multidisciplinary rounds with physicians, nurses, nutritionists, and pharmacists, to communicating discharge plans and providing crucial support every step of the way. As a valued team member, you'll experience the rewarding impact of direct patient interaction while building a strong foundation for professional growth in healthcare. If you thrive in fast-paced, engaging environments where your contributions truly matter and collaboration drives success, this is your opportunity to advance your career while making a real difference in patient care!

SCHEDULE

Full Time/ 30 Hours Monday-Friday 3 Ten hour shifts 7:00am- 5:30pm Every 3 weeks weekend rotation Holiday rotations are required in this role. Enjoy a flat rate $2/hour weekend shift differential

LOCATION

Banner North Colorado Medical Center - Banner North Colorado Medical Center is a 378-bed Level II trauma center and acute care facility with over 3000 employees. Our hospital offers an array of inpatient and outpatient services including medical, pediatric, obstetric, orthopedic, surgical, heart, cancer, and critical care. As a regional medical center, we provide community-based and specialty services for a service area that includes southern Wyoming, western Nebraska, western Kansas, and northeastern Colorado. In order to provide the most compassionate and innovative care possible, we bring together state-of-the-art technology and an exceptional team of health care professionals. The Banner MD Anderson Cancer Center is amongst Northern Colorado's leading cancer diagnosis and treatment facilities for the healthcare professional, our Greeley, Colorado location offers access to a wide variety of recreational activities in an inviting, close-knit community.

POSITION SUMMARY

This position facilitates the safe and timely transition of clients from acute care to alternative levels of care such as skilled nursing facility, long-term acute care, inpatient rehabilitation, home infusion therapy, hospice and/or home care or community program. Facilitates discharge plan for the transition of care and services into the designated setting or service. Provides on-site or telephonic discharge arrangements to post-acute and community services.

CORE FUNCTIONS

• Processes and facilitates the timely discharge/transfer of clients from hospital care to identified post-acute setting. Notifies care coordination team member(s) if patient or caregiver demonstrate or verbalize any inability/concern to be able to manage their post-acute plan or responsibilities.
• Facilitates/ implements the care plan with proposed interventions in collaboration with healthcare team. Collaborates with all members of the healthcare team to implement, manage and communicate the transition of care arrangements.
• Participates in performance improvement projects, Banner initiatives and performs data collection for measurement of projects as assigned.
• Documents all interventions in the patient medical record both timely and accurately including all elements of the discharge plan. Performs transfer of accurate, pertinent patient information between all appropriate entities of the post-acute care continuum.
• Assist and support patients and families in making appropriate arrangements for the post-acute plan. Performs follow-up calls to patients and providers as indicated and report any concerns to leadership.
• Serves as an intermediary when providing community resources to patients, caregiver, and families. Discusses with patient, caregiver, and/or family maintaining clear communication regarding anticipated discharge date and potential care settings.
• Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with transition of care planning and choices.
• Employee has freedom to determine how to best accomplish functions within established procedures and implements the discharge plan under the delegated authority of a provider, licensed MSW, registered nurse or other licensed healthcare professional. Confers with supervisor/manager on any unusual situations and communicates plans and activities for patient discharge across the care continuum.

Internal customers: Post-acute services team members and all levels of nursing management and staff, medical staff, and all other members of assigned facility interdisciplinary health care team.

External customers: home health agencies, nursing homes, insurance providers, group homes, assisted living facilities, hospice, long-term acute care hospitals, inpatient rehabilitation facilities, volunteer agencies, county/governmental agencies and medical supply companies and others as required.

MINIMUM QUALIFICATIONS

• A Bachelor’s degree in social work or related degree or a Licensed Practice Nurse, or a Licensed Respiratory Therapist required.
• Must have knowledge of government/community agencies and resources, such as Medicare/Medicaid, long term care or other applicable resources/services.
• Must demonstrate effective communication and customer service skills, human relation skills and time management skills.
• Must be able to work flexible hours and work weekends on rotation.
• BLS required. (BLS is not required for employees working in the Insurance Division.)
• Employees working at Banner Behavioral Health Hospital, BTMC Behavioral or BUMG, BUMCT in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
• An Arizona Criminal History Affidavit must be signed upon hire.
• Employees working at BUMCS in a Behavioral Health clinical setting must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

PREFERRED QUALIFICATIONS

• Previous experience in health care service setting, interacting with patients and families, usually obtained through work in social services, as a licensed practical nurse or in a discharge planning setting.
• Additional related education and/or experience preferred.

Estimated Pay Range: $26.82 - $40.22 / hour

Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

Anticipated Closing Window (actual close date may be sooner): 2027-01-29

EEO Statement: EEO/Disabled/Veterans

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Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information.