Transitional Care Coordinator (Liason, Sales) - Homecare

Hartford HealthCare • Southington, CT

110d

About The Position

Work where every moment matters. Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network as a Transitional Care Coordinator. Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our colleagues to learn and grow within our organization, all while providing integrated support to the patient. As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home. Most importantly, our colleagues are appreciated for the real differences they make in both the lives of their clients and their clients’ families.

Requirements

• RN or LPN with an active license to practice in the State of Connecticut preferred.
• Bachelor’s Degree preferred.
• Minimum of 1 year recent homecare experience preferred.
• Positive outlook and effective communicator.
• Computer literacy including Microsoft Office and Excel.
• Efficient multi-tasker with experience and interest in problem resolution and process improvement.
• Creative thinker that excels in a team environment.

Responsibilities

• Work in collaboration with hospital case managers and social workers, skilled nursing facilities, assisted living facilities, independent living facilities, home care agencies, and physicians to provide education to customers, patients, and families in coordinating the care of patients moving from one level of care to another.
• Serve as a bridge between the healthcare team and the patient and/or caregivers.
• Help reduce facility re-admissions.
• Provide information and guidance to the patient and/or caregiver resulting in effective care transitions.
• Monitor all current/new patients while at hospital/SNF & ALF and alert HHC@H team when start of care will be needed.
• Conduct bedside meetings with the patient and/or caregiver and follow the patient during the post-discharge transitional phase.
• Engage in attainable goals with holistic and sustainable plans to avoid readmissions.
• Collaborate with Care Coordination/Social Services on discharge date, after care needs, equipment, and pertinent information obtained during bedside visit.
• Prepare and maintain accurate patient records, charts, and documents to support sound medical practice.
• Participate in case conferences and or rounds at the request of hospital and/or community agency staff.

Benefits

• Competitive benefits program designed to ensure work/life balance.
• Opportunities for career development and growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees