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Full-Time Transitional Care Coordinator Registered Nurse

Company: Signature Healthcare at Home
Location: Medford
Posted on: June 25, 2022

Job Description:

Now Hiring!Full-Time Transitional Care Coordinator (RN or Licensed Social Worker) Location:Signature Healthcare at Home834 South Front St.Central Point, OR 97502Work Schedule:Monday through Friday, 8:00 AM to 5:00 PMOverview:Transitional Care Coordination is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, utilization and advocacy for options and services to meet an individual's and family's/caregiver's comprehensive health needs through communication and available resources to promote quality cost effective outcomes.Successful outcomes cannot be achieved without specialized skills and knowledge applied throughout the process. These skills include, but are not limited to, positive relationship-building; effective written and verbal communication; negotiation; knowledge of contractual or risk arrangements; the ability to effect change, perform ongoing evaluation and critical analysis; end of life care planning and the ability to plan, organize and manage effectively.Please apply on line for this position here: -https://signature-careers.comResponsibilities

  • Registered Nurse or Master of Social Work acting as a liaison between the patient, family/caregivers, clinical team, providers and third-party payers in the coordination of continued care, both for patients seen in the Health Centers as well as hospital discharges.
  • Perform qualifying assessments to determine the appropriateness of patient referrals and effectively manage these referrals.
  • Collaborate with Executive Director to identify priority clients and to address allocation of available time. -
  • Serve as a resource for discharge planners, patients and/or their families to educate them about our various services and programs.
  • Accurately document all care and transition information in patient records.
  • Effectively collaborate with all members of a patient's care team, including the family and support systems.
  • Advocate for patients, interacting positively with a variety of community and healthcare representatives.
  • Identify barriers for care.
  • Work in conjunction with Sales, Marketing and Operations Teams to accomplish objectives.
  • Receive guidance from Sales Leadership regarding implementation of Signature best practices.
  • Meet or exceed referral and admissions goals established by the VP of Sales and the Executive Director.
  • Using Signature technology, accumulate data and provide regular updates on status and progress of activities.
  • Maintain the confidentiality of all patient care information including protected health information, report known or suspected incidents of unauthorized disclosure of such information.
  • Flexible schedule and regular, punctual attendance to meet with patients and caregivers to discuss and plan for services.
  • Create and maintain a favorable public image of Signature Healthcare at Home. Support company mission, values and goals.
  • Attend meetings and participate in committees as required.
  • Attend and participate in mandatory training programs.Qualifications/Skillsets
    • Must have a current RN license in good standing or Masters' Degree in Social Work from an accredited school of Social Work. -
    • Two years' work experience in a hospital setting preferred.
    • Requires exceptional communication and collaboration skills to interact with medical staff, all department staff and Health Center/Medical Home Management.
    • Requires ability to problem solve effectively in complex situations.
    • Must have strong assessment and goal setting skills and project management skills.
    • Must be able to take the lead in a confident and competent manner in emotionally demanding situations.
    • Must be knowledgeable of community resources. -
    • Working knowledge of prevailing Federal and State regulations guiding the profession a plus; required within 6 months of hire. -
    • Working knowledge of intensity/severity criteria in common use.
    • Collaboration, negotiation and mediation skills; and time management and prioritization skills required.
    • Familiarity with MS Office and Internet use required.
    • Familiarity with HCHB or EPIC a plus and will be required within 3 months of hire. -
    • PRI or Screen Certification preferred and will be required after successful completion of probation status
    • Must demonstrate knowledge of funding sources (third party payer contracts and requirements), health care services, human behavior dynamics, the health care delivery and financing systems, and clinical standards and outcomes. -
    • Must have a valid driver's license, available insured vehicle and ability to make home visits. -Please apply on line for this position here: https://signature-careers.comOr contact:LaDawn FronapelSignature Healthcare At Home - Sr. Talent Acquistion SpecialistE: ladawn.fronapel@sighch.comC: -503-756-5453

Keywords: Signature Healthcare at Home, Medford , Full-Time Transitional Care Coordinator Registered Nurse, Healthcare , Medford, Oregon

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