Transition Coordinator

Brown Medicine

12d•Onsite

About The Position

SUMMARY: Reporting to the Office Manager of the Adult Psychiatry and Behavioral Health (APBH) Access Center and the Director Practice Operations, the Transition Coordinator aids to ensure proper transition of care services for patients throughout the APBH Service Line. The Transition Coordinator functions as a primary connection to reduce emergency room visits and readmission within the APBH service line and community. This includes providing assistance while obtaining appropriate housing, transportation, supervision, physical health services and public assistance benefits. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Acts in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct. Maintains current hospital and community resources to assist in the resolution of practical problems and other concrete services to support the biopsychosocial needs of patients within the service line. Builds relationships and ensures effective communication with internal and external customers including hospitals, community resources, and support systems. Arranges and coordinates referrals, including obtaining information from referral sources and faxing evaluations, labs, and demographics to appropriate facility/program. Works as a member of the multidisciplinary team to coordinate and communicate issues and progress of the transition of care plan. Coordinates with the inpatient psychiatry access coordinator to monitor internal (inter-affiliate) and external bed availability for behavioral health care. Works as a member of the APBH Access Center to identify available resources and appointments for all levels of care within the service line. Conducts activities related to Utilization Management, including, securing authorizations, concurrent reviews to ensure payment and uninterrupted behavioral health care. Provides appointment scheduling for follow-up care with behavioral health and substance use providers. Maintains appropriate documentation and statistics regarding transition of care activity. Participates in departmental studies and projects which may include planning and coordinating activities as needed. Travels within various service line sites within the state of RI as needed. Performs other duties as assigned.

Requirements

Bachelor’s Degree in social work from a school accredited by the American Council on Social Work Education. Bachelor’s degree in a related field may be considered when accompanied by at least one year of relevant experience in managed care activities.
Demonstrated knowledge and skills necessary to provide care with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
One-year professional experience working in health care setting or human service agency with knowledge of health care and health care delivery systems preferred.
Experience with managed care desirable.
Analytical skills necessary to evaluate patients’ concrete needs and to implement a coordination of care plan.
Interpersonal skills to effectively interact with patients, families, medical staff and outside agencies in providing services.

Responsibilities

Acts in accordance with the principles of the Brown University Health Corporate Compliance Program and Code of Conduct.
Maintains current hospital and community resources to assist in the resolution of practical problems and other concrete services to support the biopsychosocial needs of patients within the service line.
Builds relationships and ensures effective communication with internal and external customers including hospitals, community resources, and support systems.
Arranges and coordinates referrals, including obtaining information from referral sources and faxing evaluations, labs, and demographics to appropriate facility/program.
Works as a member of the multidisciplinary team to coordinate and communicate issues and progress of the transition of care plan.
Coordinates with the inpatient psychiatry access coordinator to monitor internal (inter-affiliate) and external bed availability for behavioral health care.
Works as a member of the APBH Access Center to identify available resources and appointments for all levels of care within the service line.
Conducts activities related to Utilization Management, including, securing authorizations, concurrent reviews to ensure payment and uninterrupted behavioral health care.
Provides appointment scheduling for follow-up care with behavioral health and substance use providers.
Maintains appropriate documentation and statistics regarding transition of care activity.
Participates in departmental studies and projects which may include planning and coordinating activities as needed.
Travels within various service line sites within the state of RI as needed.
Performs other duties as assigned.