Transitional Care Coordinator

Banner Health

2d•Hybrid

About The Position

Banner MD Anderson Cancer Center brings world-class cancer care to Arizona, focusing on comprehensive, patient-centered treatment and support. Our Transitional Care Coordinator will help to support patient care transitions across all specialties at Banner MD Anderson Cancer Center. This role will manage order requests including Home Health, DME (Durable Medical Equipment), and oxygen orders, as well as handle medical records requests and patient referrals for all cancer specialties. This is a full-time position scheduled Monday through Friday, 8am to 5pm. This is a primarily remote position with occasional onsite gatherings. Experience innovative technology and exceptional opportunities for growth and development at Banner Health's state-of-the-art hospital Banner Gateway Medical Center. With comprehensive electronic medical records, physician order entry, digital radiography and proprietary advanced patient monitoring, Banner Gateway provides you with the innovative resources you need to provide your patients with the best care possible. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. Located near Phoenix in Gilbert, Ariz., Banner Gateway Medical Center offers 286 private rooms, 13 operating suites, a 46-bed emergency department and shares a campus with the Banner MD Anderson Cancer Center. Our WIS and NICU services support an average of 4,000 deliveries per year. Key specialties include oncology, obstetrics, bariatric surgery, emergency and other services that focus on meeting the changing needs of the dynamic and growing community we serve. Banner MD Anderson Cancer Center Located in Gilbert, Ariz. (the Phoenix Metro area) on the Banner Gateway Campus, the center provides world-class care for oncology patients - both inpatient and outpatient - and has also brought leading oncology programs to the Banner Gateway campus including designation as a Stem Cell Transplant Center of Excellence and comprehensive Head & Neck cancer care. Our capabilities include five linear accelerator vaults, a brachytherapy vault, an advanced diagnostic imaging suite with PET/CT scan, more than 70 infusion bays, a cryopreservation lab and much more. Our inpatient medical oncology unit also incorporates a program that utilizes the electronic surveillance partnership in caring for the patient, where remote nurses have the ability to interact with patients via two-way audio-video to assist the bedside nurse with patient care. POSITION SUMMARY This position supports the smooth, timely, and coordinated client transition from acute care to alternative levels of care including but not limited to post-acute settings, community services, or home with post-acute service support, as directed by the care coordination team. This position performs follow-up tasks and coordinates the logistics for a patient’s discharge services identified in the inpatient discharge care plan for management of Banner patients across the healthcare continuum.

Requirements

High school diploma/GED or equivalent working knowledge.
Certification for BLS is required for acute-care settings where direct patient care is provided.
The position requires a proficiency level typically achieved with one year of experience in healthcare as a Nursing Asst, Medical Asst, Health Unit Coordinator, Patient Care Tech, etc.
Must demonstrate effective communication and customer service skills, human relation skills and time management skills with flexibility in responding to multiple demands.
Must be able to work flexible hours and work after hours/weekends on rotation.
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

Additional related education and/or experience preferred.

Responsibilities

Works to coordinate the patient’s transition into or out of a care setting and obtains appropriate services and benefits as directed by the care coordination team. This may include faxing information, entering referrals or tasking other departments or consultants, arranging authorization and transportation, arranging durable medical equipment (DME), coordinating home health care, confirming arrangements, making physician or outpatient appointments, obtaining test results, and other patient related duties as designated.
Coordinates and manages the logistics of discharge planning for individual patients and works to coordinate the patient’s transition into or out of a care setting and obtains appropriate services and benefits as directed by the care coordination team. This may include faxing information, entering referrals or tasking other departments or consultants, arranging authorization and transportation, arranging durable medical equipment (DME), coordinating home health care, confirming arrangements, making physician or outpatient appointments, obtaining test results, and other patient related duties as designated. Keeps other members of the care team informed of barriers or challenges which might delay the patient’s discharge and works collaboratively with the care team to resolve such challenges.
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 acute and post-acute care continuum relative to the anticipated discharge/transfer of the patient.
Works collaboratively with team members; promotes collaborative relationships with vendors, community and referral resources.
May perform tasks such as securing community resources/information or other tasks.
Works under general supervision. Confers with supervisor on any unusual situations.
Internal customers: Post-acute services team members and all levels of nursing management and staff, medical staff, and all other members of assigned facility interdisciplinary health care team.
External customers: home health agencies, nursing homes, insurance providers, group homes, assisted living facilities, hospice, long-term acute care hospitals, inpatient rehabilitation facilities, volunteer agencies, county/governmental agencies and medical supply companies and others as required.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.