Transition of Care Coordinator

Astiva Health•Orange, CA

About The Position

The Transition of Care Coordinator works with the UM Nurse and members to assist with appointments and arrange necessary home health, durable medical equipment (DME), and other services. The role supports timely care coordination and outreach by maintaining confidential case-management data, verifying benefits and eligibility, assisting with assessments, and following up with members to ensure their needs are being met and services are delivered satisfactorily. The position also supports the UM department with member admission documentation.

Requirements

At least 3 years of Case Management experience.
High school diploma or GED.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence and speak effectively before groups, customers, or employees.
Ability to perform basic arithmetic and compute rates, ratios, and percentages, and to draw and interpret bar graphs.
Ability to solve practical problems, interpret varied instructions, and deal with situations where standardization is limited.
Ability to perform the essential duties satisfactorily, including regular and consistent attendance.

Nice To Haves

Medical Assistant experience.
Experience with Microsoft Excel, Word, Outlook, and Teams.

Responsibilities

Accurately enter confidential data into the case management system to support timely care coordination and outreach.
Verify member benefits and eligibility upon receipt of care coordination.
Coordinate and assist with patient appointments and transportation, and use community resources.
Assist in completing applicable patient assessments in a timely manner.
Work with the Nurse to actively problem solve for patients.
Proactively contact patients to verify their needs are being met and services are being satisfactorily delivered.
Support the UM department by uploading member admissions, home health admissions, and skilled nursing facility admissions.
Maintain regular and consistent attendance.
Perform other duties as assigned.