The Care Transition Coordinator's primary responsibility is to facilitate a seamless transition for patients discharging from a facility setting to home health care, while executing a strategy to increase access to care, and minimize barriers. This role coordinates patient admissions, assess and plans options and services, and ensures all documentation is complete to support timely transitions to home health care. A few position highlights include: Assist patients in the process of navigating their post-discharge and transition needs. Meet admissions and account goals, maintain accurate CRM records, attend community events, respond promptly to patient and provider concerns, and report progress on growth strategies. Assist the agency with preparing for and accepting the patient, and assist the Administrator with execution of contracts for facility-based services for home health patients. Explain home health services and agency procedures to the patient and their family members and assess post-discharge educational coaching needs.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed