Transitional Care Associate Care Coordination

Banner Health•Sun City, AZ

About The Position

As a Transitional Care Associate, you will facilitate the safe and timely transition from acute care to alternative levels of care such as skilled nursing facility, long-term acute care, inpatient rehabilitation, home infusion therapy, hospice and/or home care program. You will also facilitate discharge plan for the transition of care and services into the designated setting or service. Additional responsibilities include providing on-site or telephonic discharge arrangements to post-acute and community services. You should be willing to work collaboratively with care coordination team members to identify any barriers to a safe discharge, and works with patient/family to provide clear communication regarding discharge plan. This is a full time opportunity. Hours are primarily Monday through Friday, 8:30AM to 5:00PM. Weekend rotations are required in this role. Enjoy a flat rate $3/hour weekend shift differential when applicable. Banner Boswell Medical Center has provided exceptional health care to the communities in the northwest area of metro-Phoenix for over five decades. Today, our 410-bed acute-care hospital is nationally recognized by U.S. News and World Report as one of Arizona’s Best Hospitals. Banner Boswell offers a full range of acute care services, including cardiology, vascular, thoracic, oncology, orthopedics, neurology, general surgery, robotic surgery, rehabilitation, emergency, stroke, intensive care, pulmonary, urology, and inpatient wound management. POSITION SUMMARY This position facilitates the safe and timely transition of clients from acute care to alternative levels of care such as skilled nursing facility, long-term acute care, inpatient rehabilitation, home infusion therapy, hospice and/or home care or community program. Facilitates discharge plan for the transition of care and services into the designated setting or service. Provides on-site or telephonic discharge arrangements to post-acute and community services.

Requirements

A Bachelor’s degree in social work or related degree or a Licensed Practice Nurse, or a Licensed Respiratory Therapist required.
Must have knowledge of government/community agencies and resources, such as Medicare/Medicaid, long term care or other applicable resources/services.
Must demonstrate effective communication and customer service skills, human relation skills and time management skills.
Must be able to work flexible hours and work weekends on rotation.
BLS required.
Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
An Arizona Criminal History Affidavit must be signed upon hire.

Nice To Haves

Previous experience in health care service setting, interacting with patients and families, usually obtained through work in social services, as a licensed practical nurse or in a discharge planning setting.
Additional related education and/or experience preferred.

Responsibilities

Processes and facilitates the timely discharge/transfer of clients from hospital care to identified post-acute setting. Notifies care coordination team member(s) if patient or caregiver demonstrate or verbalize any inability/concern to be able to manage their post-acute plan or responsibilities.
Facilitates/ implements the care plan with proposed interventions in collaboration with healthcare team. Collaborates with all members of the healthcare team to implement, manage and communicate the transition of care arrangements.
Participates in performance improvement projects, Banner initiatives and performs data collection for measurement of projects as assigned.
Documents all interventions in the patient medical record both timely and accurately including all elements of the discharge plan. Performs transfer of accurate, pertinent patient information between all appropriate entities of the post-acute care continuum.
Assist and support patients and families in making appropriate arrangements for the post-acute plan. Performs follow-up calls to patients and providers as indicated and report any concerns to leadership.
Serves as an intermediary when providing community resources to patients, caregiver, and families. Discusses with patient, caregiver, and/or family maintaining clear communication regarding anticipated discharge date and potential care settings.
Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with transition of care planning and choices.
Employee has freedom to determine how to best accomplish functions within established procedures and implements the discharge plan under the delegated authority of a provider, licensed MSW, registered nurse or other licensed healthcare professional. Confers with supervisor/manager on any unusual situations and communicates plans and activities for patient discharge across the care continuum.