Patient Transition Coordinator


Job Description
Position SummaryThe Patient Transition Coordinator is responsible for modeling the 3 Company values of Compassion, Integrity, and Excellence, and for promoting the Compassus philosophy, using the 6 Pillars of success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. Position is key to care transitions supporting the referral to hospice, home health, home infusion and palliative through collaboration with the Care Transition Coordinator.Position Specific ResponsibilitiesOrganizes, tracks, and builds a complete medical record for appropriate patient transition to the home health providers; and confirms start of care (SOC) for each patient referred.Responsible for identifying all post-acute care needs and collaborating with the Care Transition Coordinator.Collaborates with all Compassus/Ascension at Home/Beyond Home Health intake teams.Responsible for completing the transition of care, including submission of complete referral, and, securing outside agency placement in the event that Compassus/Ascension at Home/Beyond Home Health is unable to service the patient.Organizes and prioritizes large volumes of information.Displays exceptional customer service to our patients/families/referral sources.Handle confidential and non-routine information.Manage and create general correspondences, memos, charts, tables, graphs, business plans, etc.Effectively utilize computer software applications in word processing, spreadsheets, database and presentation software (MSWord, Excel, Access, PowerPoint). Work requires continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines.Perform other duties as assigned.Education and/or ExperienceBachelor's Degree in health- related field preferred; or equivalent combination of education and experience.Minimum one year experience in a related health care setting.One (1) year experience in home health, hospice and/or palliative preferred.Prior experience with electronic medical records preferred.Knowledge of HH, HO, Palliative eligibility requirements preferred.SkillsMathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, colleagues, investors, and external parties. Strong written and verbal communications.Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.Physical Demands and Work Environment: The physical demands described here are representative of those that must be met by a colleague to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the colleague is regularly required to use hands to finger, handle, or feel; talk and hear. The colleague frequently is required to stand, sit, and reach with hands and arms. The colleague is occasionally required to walk; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The colleague must frequently lift and/or move more than 50 pounds. Specific vision abilities required by this job include close vision. The work environment characteristics described here are representative of those a colleague encounters while performing the essential functions of this job. There will be possible exposure to infectious diseases through working with clinical caregivers. The noise level in the work environment is usually quiet.At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our colleagues feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.