Care Transition Coordinator

HurleyFlint, MI
13d

About The Position

GENERAL SUMMARY: Acts with the goal of providing coordination and support to patients and their families/ care partners in transitioning from the acute hospital to a post acute community setting. Works in concert with the Care Coordination Department, Nurse Case Managers, Social Work Case Managers, and Clinical Navigators to ensure continuity of care, positive patient outcomes, and reduction of bed turnaround delays related to discharge planned to non-home settings. Effectively utilizes EMR. Obtains authorizations and updates statuses for discharge coordination when needed. Participates in quality assessment and continuous quality improvement activities. Works independently and incorporates positive patient experience tools and practices into their daily workflow. Performs all job duties and responsibilities in a courteous and patient-focused manner according to the Hurley Family Standards of Behavior. SUPERVISION RECEIVED: Works under the direct supervision of the Director of Care Coordination and Clinical Risk Management and the Manager of Social Work and Social Throughput and Capacity Strain or their designees, who assign and review work for effectiveness and conformance with established policies and procedures.

Responsibilities

  • Providing coordination and support to patients and their families/ care partners in transitioning from the acute hospital to a post acute community setting.
  • Working with the Care Coordination Department, Nurse Case Managers, Social Work Case Managers, and Clinical Navigators to ensure continuity of care, positive patient outcomes, and reduction of bed turnaround delays related to discharge planned to non-home settings.
  • Effectively utilizing EMR.
  • Obtaining authorizations and updates statuses for discharge coordination when needed.
  • Participating in quality assessment and continuous quality improvement activities.
  • Working independently and incorporates positive patient experience tools and practices into their daily workflow.
  • Performing all job duties and responsibilities in a courteous and patient-focused manner according to the Hurley Family Standards of Behavior.
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