• Care Transition Coordinator RN

    BayCare Health System (Clearwater, FL)


    At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

    Summary:

    Responsible for transitions of care from acute and subacute setting to home with home health care. Education of homecare services to community groups and physicians. Responsible for collaborating with business development team in gaining and maintaining market share through referral intake process. Responsible for collaborating with referral sources in transitions of care. Responsible for timely communication with all referrals sources telephonically as well as through electronic platforms. Responsible for clear concise referral provided to homecare division meeting all regulatory, payer, and safety requirements. Completes preadmission assessment and education to patient and caregiver of homecare services. Includes coordination of Homecare and Pharmacy as well as communication with referral sources and physicians. Responsible for knowledge of Medicare and Managed Care regulations and requirements. Timely response to referrals sources, providers, and leadership is essential. Responsible for documenting Face to Face encounter, verifying POC and Following Physicians which is a condition of payment. Oversight of Care Coordination Assistant team. Identifies patients appropriate for disease management programs and telehealth. Performs ICD-10 coding of referrals. Identifies potential MSP scenarios. Responsible for leading MDI huddles on rotation basis. Monitors and communicates referral source activity acting as one point of contact for referral sources, home health, and infusion. Will be responsible for additional transitions of care duties as assigned. Must be able to travel in assigned territory and attend meetings as needed. Requires reliable transportation.

    Minimum Qualifications:

    Other information:

    Active/Clear Florida RN license is required. Business Development skills are required.

     

    Computer proficiency in Microsoft Office and Excel is preferred.

    Education:

    Essential:

    * Education Information in Comments

    Education equivalent experience:

    Essential:

    * Required - Associates - Nursing; Or - Diploma - Nursing; Preferred - Bachelors - Nursing

    Credentials:

    Essential:

    * Credential Requirements in Comments

    Credential equivalent experience:

    Essential:

    * Required - RN (Registered Nurse) - State of Florida; Required - Reference summary for details - License; Preferred - CCMC - Certification

    Experience:

    Nonessential:

    * Home Care

    * Nursing

    Facility:

    BayCare Health System, Care Coordination West-HC

     

    Status:** **Full Time, Exempt: Yes

     

    Shift Hours:** **8a-5p

     

    Shift:** **Shift 1

     

    Shift 1 = Days, 2 = Evenings, 3 = Nights, 4 = Varies

     

    Weekend Work:** **None

    On Call:** **No

    **How often will this team member be working remotely?** Never

    Equal Opportunity Employer Veterans/Disabled

    **Position** Care Transition Coordinator RN

    **Location** Clearwater | Nursing | Full Time

    **Req ID** null