Transitional Care Coordinator

Overview

Required skills & experience (the 5 “must haves” to be considered): 1. Registered Nurse with current, active unrestricted OH licensure required (**TCC Role will only accept candidates with a RN license**) 2. 3-5 years of RN experience with acute case management/RN experience or experience in an IRF or LTAC setting 3. Experience transitioning/discharging patients from acute (required) to Skilled Nursing Facility (strongly preferred) 4. CMS and managed care knowledge preferred. 5. Additional key qualification would be experience with InterQual criteria What you need to know: • The Transitional Care Coordinator (TCC) plays an integral role in patient journeys towards better well-being by serving as the communication link between the patient and their interdisciplinary health care team. • The Transitional Care Coordinator is responsible for identifying the appropriate post-acute care (PAC) setting and evaluating a defined population for transitional needs post-discharge to improve outcomes. • This position is normally 5 days a week at the partnering hospital(s), but positions are temporarily remote due to COVID restrictions. • Please ensure that candidates are willing and able to return onsite when we are instructed to do so! •The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners, referral coordinators, etc. •The patient and caregiver are involved in the decision-making process to minimize service fragmentation during care transition.

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.