The Care Transition Coordinator represents the organization in the community and is responsible for educating physicians and other healthcare professionals and potential clients in the benefits and services provided by the Agency. The Care Transition Coordinator is responsible for business growth and development and constantly strives to increase the Agency’s presence in the communities it serves. The Care Transition Coordinator is vital in care coordination for newly referred patients and patients on service who have been hospitalized and remains an active member of the patient’s care team from admission to discharge.
- Ensure internal and external customer service a priority at all times
- Participate in Unit / Branch growth and development
- Participate in program development
- Research and develop strategies and plans which identify marketing opportunities, direct marketing, and new community contact development
- Remain active across referral continuum demonstrating ability to secure new and post- hospital Medicare referrals, and facilitate the return of prior clients. Includes follow up with referral sources.
- Understand home health care admission criteria and procedures
- Engage in community education
- Participate in Performance Improvement (PI) activities as requested
- Work within budget; utilize resources in a cost effective manner; submit expense reports accurately and timely
- Active member of sales and care coordination teams
- Work independently with self direction and motivation
- Make appropriate independent judgments required in the absence of direct supervision
- Communicate appropriately and effectively with staff / supervisor / patients, etc.
- Control absences from work so they do not inhibit performance
- Comply with HIPAA privacy regulations and maintains confidentiality at all times
- Exercise sound professional judgment
- Perform visits as dictated by the Agency’s needs (if applicable)