Transitional Care Coordinator

Overview

Required skills & experience: 1. Must possess an active, unrestricted Registered Nurse license 2. MUST be fluent in Vietnamese 3. Five years of relevant clinical healthcare experience working in an acute care setting and in a skilled nursing, long term care, post acute or rehabilitation facility 4. 1 year MINIMUM of recent acute/critical care experience required. (Case management, Utilization Review/Management, MDS coordinator, and Clinical Liaison experience is also strongly preferred). 5. Experience coordinating with providers, nursing and therapy staff to adjust and monitor patient care plans (Interdisciplinary Teams). 6. Solid understanding of compliance with Medicare guidelines and procedures specifically for care within skill nursing facilities. What you need to know: • The Transitional Care Coordinator is responsible for coordinating transitions and identifying appropriate care plans in order to improve patient recovery. • Coordinators will manage an average caseload of 25-30 patients • 80% of the day spent in the field providing onsite support to patients across several acute care facilities and skilled nursing facilities • 20% of day spent in home office-documentation, e-mails, prep (start this at end of the day) • The Transitional Care Coordinator must live within a 30-minute commute of the coverage area • Will have six weeks of training; the first two weeks will be classroom training in TN (travel expenses will be covered)

Benefits

Company

Since 2012, this client has been a trusted partner for the nation’s top health plans, health systems, post-acute care providers, and at-risk physician groups navigating the shift from volume to value. Their high-touch, proven care model fully supports patients from pre-acute through to the home. This client's patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions.