Transitional Care Specialist

Lumeris • NH

98d • $49,200 - $63,000

About The Position

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. The Transitional Care Specialist is responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors. Supports providers and Case Managers through an integrated approach to care management and community outreach. Responsible for promoting, maintaining, and improving the health of patients and their family. Provides in-person, telephonic, and virtual support, advocates for individuals and community health needs, and provides services such as basic first aid and blood pressure screenings. Identifies and addresses concerns and patient needs and escalates unresolved matters through defined procedures.

Requirements

• Bachelor's degree in healthcare related field, LPN, or equivalent.
• 3+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role.
• Firm interpersonal, critical thinking, and problem-solving skills, including the ability to interpret, conceptualize, and disseminate data/information in a readily understandable manner.
• Good communication and presentation skills, both written and verbal, with the ability to effectively communicate with individuals at all levels internally and externally.
• Effective time-management and project management skills, including the ability to plan, interpret moderately complex processes/programs, resolve and/or escalate issues in a timely fashion and ensure adherence to timelines.
• Ability to collaborate as a member of an interdisciplinary team.
• Excellent interpersonal and customer service skills, including telephone etiquette.
• Proficiency using computer systems.
• Ability to be flexible and adaptive to a changing environment.
• Must have own reliable transportation for travel to/from members’ homes and the office as required.

Responsibilities

• Establishes trusting relationships with patients and their families while providing general support and encouragement.
• Provides ongoing follow-up, basic motivational interviewing, and goal setting with patients/families.
• Helps patients connect with transportation resources and provides appointment reminders in special circumstances.
• Maintains knowledge about community resources appropriate to needs of patients/families.
• Provides consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information and reports clearly describe progress.
• Acts as a patient advocate and liaison between the patient/family and community service agencies.
• Reinforces education that has been provided by the licensed staff.
• Provides health care and support to members/patients.
• Obtains vital signs, assists with ambulation, and confirms medication lists.
• Assists patient/family with scheduling appointments with Lumeris providers/staff, as well as other providers (i.e., PCP, specialists); and coordination of durable medical equipment (DME) and supplies.
• Assists with the Acute/Post Acute follow up as instructed.
• Completes pre-discharge calls or discharge reminder calls according to outlined processes.
• May be asked to drive to a member’s home for wellness checks or locate if unable to reach telephonically.

Benefits

• Medical, Vision and Dental Plans
• Tax-Advantage Savings Accounts (FSA & HSA)
• Life Insurance and Disability Insurance
• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
• Employee Assistance Program
• 401k with company match
• Employee Resource Groups
• Employee Discount Program
• Learning and Development Opportunities

What This Job Offers

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