Post Acute Transitions Specialist

HCA Healthcare • ASHEVILLE, NC

2d

About The Position

The Post-Acute Transitions Specialist coordinates between internal and external referral sources and CarePartners Post-Acute service lines. The role builds relationships, provides education, and promotes collaboration with hospitals, skilled nursing and assisted living facilities, ambulatory and inpatient care managers, physicians, payors, the MHP clinically integrated network, and other community referral sources.

The specialist supports appropriate patient placement through screenings and assessments in collaboration with discharge planners, interdisciplinary teams, care managers, referral coordinators, physicians, and CarePartners team members. Working closely with post-acute providers, skilled nursing facilities, physician practices, hospital care managers, and palliative care teams, the specialist helps maintain a responsive referral and admission process.

The role collaborates with health system and community colleagues to support quality, best-practice care across the continuum through direct patient contact and care-management activities. It also supports positive financial outcomes for designated patient populations by facilitating appropriate post-acute placement, participating in goals-of-care and advance-care-planning discussions, and coordinating effective transitions to help prevent readmissions and lower total cost of care through appropriate use of post-acute services.

Requirements

• Degree in Physical, Occupational, or Speech Therapy; Social Work; Psychology; Business; Health Sciences; or a related field.
• Minimum of two years of recent experience in a health-related field.
• License in the relevant therapy discipline, if applicable.

Nice To Haves

• Eight years of recent clinical experience in a relevant practice area.

Responsibilities

• Coordinate between internal and external referral sources and CarePartners Post-Acute service lines.
• Establish relationships, provide education, and promote collaboration with healthcare providers, facilities, payors, and community referral sources.
• Conduct or coordinate screenings and assessments to support appropriate patient placement.
• Collaborate with discharge planners, interdisciplinary teams, care managers, referral coordinators, physicians, and CarePartners service-line colleagues.
• Work with post-acute providers, skilled nursing facilities, physician practices, hospital care managers, and palliative care teams to support a responsive referral and admission process.
• Collaborate with health system and community colleagues to promote quality and best practices across the care continuum through direct patient contact and care-management activities.
• Facilitate appropriate post-acute placement and participate in goals-of-care and advance-care-planning discussions.
• Support effective transitions to help prevent readmissions and lower total cost of care through appropriate post-acute service utilization.
• Maximize positive financial outcomes for designated patient populations.

Benefits

• Medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage
• Free counseling and referral services
• Paid time off and paid family leave
• Long- and short-term disability coverage and leaves of absence
• 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service
• Employee Stock Purchase Plan
• Flexible spending accounts
• Tuition assistance, student loan assistance, certification support, and dependent scholarships
• Fertility and family-building benefits
• Adoption assistance
• Life insurance
• Supplemental health protection plans
• Auto and home insurance
• Legal counseling
• Identity theft protection
• Consumer discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level