Transitional Care Coordinator LPN

Texas Health Huguley FWS; Town of Florida (NY); Remote; USD 60,000 - 75,000; Full time

Job summary

A healthcare organization is seeking a Transitional Care Coordinator LPN to oversee post-acute care and ensure effective discharge planning. This remote role requires coordination with healthcare teams and patient advocacy for timely care transitions. Candidates must have a High School diploma and LPN licensure, along with at least 1 year of relevant experience. Full-time position with standard hours of Monday to Friday, 8:00 am to 5:00 pm.

Benefits

Benefits from Day One

Paid Days Off from Day One

Mental Health Resources and Support

Qualifications

• 1+ year experience in skilled nursing, acute care, or post-acute care management.

Responsibilities

• Oversee post-acute care utilization for identified populations.
• Monitor length of stay during skilled nursing facility stay.
• Coordinate care post-discharge including follow-up appointments.

Skills

Care coordination

Communication with healthcare teams

Patient advocacy

Education

High School Grad or equivalent

Licensed Practical Nurse (LPN) - State Licensure

Job description

Job Description - Transitional Care Coordinator LPN (25040991)

Transitional Care Coordinator LPN (25040991 )

Benefits

• Benefits from Day One
• Paid Days Off from Day One
• Mental Health Resources and Support

Our promise to you

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule

Full Time

Shift

Monday - Friday 8:00am to 5:00pm

Location

Remote

The role you’ll contribute

The Post-acute care coordinator's primary responsibility is to oversee post-acute care utilization for identified populations. The Post-acute care coordinator will monitor length of stay while a beneficiary is in a skilled nursing facility and evaluate for appropriate discharge planning. When needed, the Post-acute care coordinator will advise on possible alternative discharge plans for complicated cases. Developing and maintaining collaborative relationships with post-acute care facilities' staff will be key in monitoring length of stay during skilled nursing facility stay and assisting in discharge planning. The Post-acute care coordinator will participate in facility clinical rounds weekly or more often as necessary. Access to and use of facility electronic health records, when available, will enable daily monitoring of beneficiary activity and progress. Communication with beneficiary and/or family may be necessary to facilitate discharge planning and collaboration with primary care practices. Care coordination will include post-discharge follow-up and transitions of care telephonic outreach to maintain continuity of care.

The value you’ll bring to the team

• Works with all clinical teams as a resource for the health management of identified patients.
• Reviews charts during skilled nursing facility stays, including facility EHR and primary provider EHR.
• Coordinates care post-discharge from facilities, including follow-up appointments and confirmation of home health agency communication.
• Attends facility clinical rounds weekly via telephone.
• Communicates with provider practices for updates and facilitates interdisciplinary conferences.
• Conducts outreach to patients during their stay to advocate for safe and expedited discharge planning.

Qualifications

• High School Grad or equivalent
• 1+ year skilled nursing facility, acute care facility, or post-acute care management
• Licensed Practical Nurse (LPN) - State Licensure

Preferred qualifications

• Case Management
• Registered Nurse – State Licensure and/or Compact State Licensure In Florida