About The Position

Performs various duties related to transition care planning across the healthcare continuum as directed by Transition Care Coordinator or designee. Provides specialized patient care coordination and/or departmental coordination. Responsible for the coordination of services/systems in both the inpatient and outpatient settings to ensure an organized, multidisciplinary approach to patient care delivery to achieve identified patient outcomes. Provides clerical and clinical support to staff in assigned unit.

Requirements

  • High School diploma or equivalent.
  • Graduate of a Medical Assistant Program
  • Obtain certification in Basic Life Support within 30 days of hire date.
  • Excellent telephone and reception skills.
  • Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
  • Basic computer knowledge and ability to operate standard office software.
  • Self-motivated, with proven communications skills.

Nice To Haves

  • Two years’ experience as a Medical Assistant or patient care.
  • Hospital, home health, or payer relations experience.
  • Registration or certification.

Responsibilities

  • Acts as a liaison between patients, physicians/APPs, scheduling, and the multidisciplinary team throughout the healthcare system including inpatient and outpatient environments. Provides assistance and information to patients, families, and visitors as instructed by the Transition Care Coordinator or designee.
  • Schedules and coordinates hospital discharge follow-up appointments, new PCP appointments, and return appointments. Will use computerized system according to WVU Medicine clinic policy and procedures as applicable.
  • Participates in transition planning activities (e.g. contact of post-acute care facilities, other community resources and transportation) as needed to ensure a timely patient discharge or return to follow-up appointments. Assists with appropriate linkage with post-acute providers.
  • Provides prompt feedback regarding barriers to transition planning to the Transition Care Coordinator/Designee, enabling them to evaluate/redirect the current patient plan of care in order to streamline the delivery of service.
  • When needed, effectively communicates clinical information with payer to obtain authorization for post-acute services/medications and documents interactions in patient’s electronic medical record (EMR) along with timely communication with Care Management/Clinical staff.
  • Assists the provider/division/multidisciplinary team in quality improvement activities.
  • Coordinates long-term follow-up of patients with their local/referring physicians as needed/directed.
  • Participates in reimbursement, certification and authorization of related activities (e.g. faxing or copying required information) as required.
  • Contacts and coordinates with referral agencies to arrange provision of ordered equipment and associated services when appropriate, as directed by Transition team members or designees.
  • Collects copies and transmits pertinent clinical and patient demographic information required to complete arrangements for post-discharge care and/or placement, as directed by Transition team members or designees.
  • Coordinates and arranges transportation and community services, as directed by Transition team members or designees.
  • Provides secretarial and clerical support, including faxing, copying charts, filing, typing and scanning.
  • Collaborates with financial counselors and social services to assure completion of financial assessments. Assists with making appropriate referrals for patients with limited/no resources.
  • Coordinates, attends, and supports conferences, etc, as appropriate to obtain necessary information for communication with other departments/agencies regarding healthcare needs.
  • Collaborates with inpatient and outpatient multidisciplinary team, as well as post-acute support such as home health services, DME companies, regarding outlined plan of care.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

101-250 employees

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