Transitional Care Associate

bannerhealth; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

Banner Health’s Transition Care Assistant role in Glendale, AZ, guides patients and families through the discharge process, coordinating with physicians, nurses, nutritionists, and pharmacists to implement the care plan and ensure a smooth transition.

The position requires a Bachelor's Degree and hospital/healthcare or social work experience, with day shifts, weekend rotations, and opportunities to grow within Banner’s interdisciplinary care teams.

Qualifications

• Bachelor's Degree and hospital/healthcare or social work background.
• Experience guiding patients and families through discharge planning processes.
• Ability to collaborate with multidisciplinary teams to implement transition plans.
• Strong communication with patients, families, and care teams throughout discharge.

Responsibilities

• Processes and facilitates the timely discharge/transfer of clients from hospital care to identified post-acute setting.
• Collaborates with all healthcare team members to implement and communicate transition of care arrangements.
• Documents all interventions in the patient medical record including discharge plan details.
• Performs follow-up calls to patients and providers as indicated and reports concerns.
• Maintains knowledge of Medicare/Medicaid and other program benefits to assist patients with transition planning.

Skills

Discharge planning

Care coordination

Team collaboration

Communication

Education

Bachelor's degree

Job description

Primary City/State: Glendale, Arizona

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, apply today.

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:

• This is a full time opportunity.
• Hours are primarily Sunday-Saturday, 10 hour shifts.
• Weekend rotations are required in this role.
• Enjoy a flat rate $3/hour weekend shift differential when applicable.

LOCATION

• Banner Thunderbird Medical Center

Banner Health’s premier West Valley Level I Trauma for adults and Tertiary Care destination for all ages. Banner Thunderbird Medical Center (BTMC) and Banner Children’s Hospital at Thunderbird provide a preferred destination for surgical, oncological, cardiovascular, neuroscience, orthopedic, pediatric, and women and infant services achieved through best-in-class 5-star CMS rating to provide patients with high quality, safe care for the best possible experience. Our campus is one of the largest campuses in the Banner network with over 3000 employees. BTMC was voted Best of the Best in 2023 by Banner Health out of 30 hospitals. This is the most prestigious award one of our largest hospitals can receive for consistently meeting our annual targets. If you would like to contribute to truly leading edge caring, we invite you to bring your experience and skills to Banner Thunderbird.

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

1. 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.
2. 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.
3. Participates in performance improvement projects, Banner initiatives and performs data collection for measurement of projects as assigned.
4. 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.
5. 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.
6. 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.
7. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with transition of care planning and choices.
8. 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.

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.

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