Transitional Care Coordinator
About The Position
The Transitional Care Coordinator (TCC) is a clinical member of the sales team who facilitates seamless transitions for patients moving from a facility setting to post-acute care. The TCC communicates and collaborates with internal and external teams to support patient-centered care, assesses patients’ health literacy and patient and caregiver needs, coordinates documentation between referral sources and discharge providers, and ensures that patients and families are included in care planning. After the transition, the TCC coordinates with the Agency to support patient-centered plans and optimal outcomes. The role uses clinical, sales, marketing, negotiation, problem-solving, and analytical skills to support market development and company growth while serving more patients with excellent outcomes. The position is based at the La Marque Branch in La Marque, Texas, and requires travel between facilities, hospitals, and the home care agency.
Requirements
- LVN or RN required.
- CPR certification from the American Heart Association or American Red Cross if the employee is a clinical professional.
- Excellent written, verbal, and listening communication skills.
- Ability to manage conflict, stress, and multiple simultaneous work demands professionally and effectively.
- Ability to work independently, collaborate with team members, build relationships, and remain results-driven.
- Strong understanding of customer and market dynamics and transitional care best practices.
- Sound organizational skills, including time management and problem solving.
- Experience with State, CMS, and/or accreditation survey processes.
- Good customer relations skills and commitment to quality service.
- Familiarity with healthcare laws, regulations, accreditation standards, and elements of performance.
- Proficiency with computers and Microsoft Word, Excel, and Outlook.
- Working knowledge of an EMR database.
- Ability to work with culturally diverse clients and address low-literacy issues in care provision.
- Ability to accept, demonstrate, and support the Agency’s core values and goals.
- Valid driver’s license, automobile liability insurance, and reliable transportation.
- Ability to travel between facilities, hospitals, and the home care agency; approximately 75%–100% travel.
- High school diploma or GED.
- Ability to perform work requiring visual acuity and dexterity, sitting, standing, some pushing and pulling, and lifting up to 25 pounds.
Nice To Haves
- At least one year of experience in a healthcare organization, home care, and/or hospice is preferred.
- Associate’s or bachelor’s degree in nursing or allied health is preferred.
Responsibilities
- Facilitate patient transitions from facility settings to post-acute care.
- Communicate and collaborate with internal and external teams to support patient-centered care.
- Assess patients’ health literacy and patient and caregiver needs.
- Coordinate with referral sources and discharge providers to ensure required documentation is obtained.
- Ensure patients and families are included in care planning.
- Coordinate with the Agency after transitions to ensure patient-centered plans are in place for optimal outcomes.
- Apply clinical, sales, marketing, negotiation, problem-solving, and analytical skills to support market development and company growth.
- Travel between facilities, hospitals, and the home care agency.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
