Care Transitions Clinical - Remote

Gentiva • Mooresville, NC

22h • Remote

About The Position

The Care Transitions Clinical reports to the VP of Care Coordination and supports the Director of Care Transitions in proactively identifying patients potentially suitable for hospice care. This role tracks patients to ensure optimal continuity of care during their transition into our services. This position does not conduct patient assessments, care planning, or discharge planning.

Requirements

• LPN or RN Nursing degree
• At least 3 years of clinical home care and/or hospice experience
• Nursing experience in post-acute care
• Strong knowledge of Home Health, Hospice, and Palliative Care services
• Excellent understanding of state and federal home health/hospice agency benefits, eligibility, regulations, conditions of participation, and compliance requirements
• Excellent analytical, problem-solving, verbal, and interpersonal skills
• Ability to learn and master information regarding locations and services
• Strong time management skills
• Fluency in English (reading, writing, speaking)
• Reliable attendance and professionalism

Nice To Haves

• Prior experience in a Care Transitions or patient navigation role
• Familiarity with electronic medical record (EMR) systems
• Additional certifications in post-acute care or care coordination
• Experience with patient education or telephonic care coordination

Responsibilities

• Review medical records against nationally recognized clinical criteria guidelines under the oversight of the Director of Care Transitions (DCT)
• Document and track patients within Gentiva systems and send referrals as directed by the DCT
• Focus on placing patients in the right care setting at the right time
• Collaborate closely with the Director of Care Transitions to ensure smooth patient transitions
• Participate in special projects and perform other duties as assigned
• Provide education regarding Home Health, Hospice, and Palliative Care services
• Assist with clinical eligibility review for alternate services
• Adhere to and participate in mandatory Company training, including HIPAA, Business Ethics, Compliance, and other policies and procedures
• Review and follow all Company policies and procedures while promoting core values

Benefits

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund
• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree