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There’s home care and then there’s BayCare Homecare!

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.

BayCare is currently in search of our newest **Care Transition Coordinator, RN** with BayCare Homecare who is passionate about providing outstanding customer service to our home care community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.

Position details:

+ **Facility:** BayCare Health System, Care Coordination West-HC

+ **Location:** Homecare Largo

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

+ **Shift Hours:** 8:00 AM - 5:00 PM

+ **Weekend Work:** Occasional

+ **On Call:** No

When you become a BayCare Nurse, we support your personal and professional growth by offering a range of benefits, educational opportunities and a healthy work-life balance:

+ Benefits (Health, Dental, Vision)

+ Paid time off

+ Tuition reimbursement

+ 401k match and additional yearly contribution

+ Yearly performance appraisals and leadership award

+ Community discounts and more

+ Relocation assistance if eligible

+ **AND the Chance to be part of an amazing team and a great place to work!**

The Care Transition Coordinator, RN is responsible for transitions of care from acute and subacute setting to home with home health care.

+ Provide education of homecare services to community groups and physicians.

+ Collaborate with business development team in gaining and maintaining market share through referral intake process.

+ Collaborate with referral sources in transitions of care.

+ Timely communication with all referrals sources telephonically as well as through electronic platforms.

+ Provide clear concise referral provided to homecare division meeting all regulatory, payer, and safety requirements.

+ Completion of preadmission assessment and education to patient and caregiver of homecare services.

+ 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.

Requirements:

+ Active/Clear Florida RN license is required.

+ Required Associate's Nursing or Diploma Nursing

+ CCMC Certification preferred

+ Preferred Bachelor's Nursing

+ Preferred 3 years Nursing

+ Preferred 1 year Home Care

_Equal Opportunity Employer Veterans/Disabled_

**Position** Care Transition Coord RN

**Location** US:Florida:Largo:HomeCare Largo | Nursing | Full Time

**Req ID** null