Transition Coordinator

Job Profile Summary

This role focuses on performing activities associated with evaluating, developing, recommending, implementing, and carrying out the policies and procedures related to the delivery of high quality patient care. In addition, this role focuses on performing the following Care Navigation related duties include: Focuses on the patient's needs and helps guide the patient through the healthcare system and works to overcome obstacles that are in the way of the patient receiving the care and treatment they require. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or deviation from standard procedures, and communicates information that requires some explanation or interpretation.

Job Overview

This position ensures continuous, efficient and smooth operations performing administrative and clerical support for assigned care managers. Handles matters of a routine nature to assist patients in their transition of care.

Job Description

Minimum Qualifications:

1. High School diploma or equivalent.

2. One (1) year of related administrative experience.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Performs general office functions for assigned department including, but not limited to typing, filing, email/mail correspondence, purchase/order supplies and equipment.

2. Uses and maintains office equipment such as copy machines, fax machines, etc.

3. Maintains confidentiality in all office matters.

4. Answers phones in a professional manner as required for screening, referring, follow-up calls, taking messages and managing voice mail.

5. Greets visitors in a friendly, professional manner and direct to appropriate person/place.

6. Provides departmental administrative and clinical support and participates in special projects as needed.

7. Assists with phone triage for Continuity of Care.

8. Establishes relationships and communicates with designated contacts for patients transitioning to an alternate level of care.

9. Prints daily census reports, serves as liaison with skilled nursing facilities, visiting nurse agencies, infusion companies, hospices, etc.

10. Faxes necessary paperwork; assists COC staff with copying and faxing of medical records.

11. Rounds on inpatient units to deliver notifications required by CMS to patients.

12. Assists COC staff with post-acute care planning as needed such as calling referral sources, family members, transportation, etc.

13. Enters documentation into EMR including but not limited to insurance authorizations, denials, or other important UR communications.

14. Documents in the EMR, including flagging of critical information (ex. TB rule-out), as requested.

15. Serves as primary facilitator of insurance appeal process.

16. Participates in a weekend coverage rotation to meet the needs of the department.

Physical Requirements:

1. Occasionally lift and/or move up to 25 lbs.

2. This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending/descending stairs and operating office equipment.

3. Frequently required to speak, hear, communicate and exchange information.

4. Ability to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols.

Skills & Abilities:

1. Ability to manage multiple, simultaneous tasks and prioritize according to established criteria and protocols.

2. Good organizational and communication skills, both verbal (in-person and with telephone phone) and written.

3. Good computer skills using Microsoft office including Outlook, Excel, and PowerPoint.

4. Ability to write and spell to ensure accurate message taking.

5. Excellent interpersonal skills.

6. Ability to remain calm under pressure and in a setting in which changing deadlines and the adaptability to change are certain.

7. Ability to visualize the big picture independently with minimal supervision and direction.

8. Excellent proofreading skills.

9. Knowledge of office management and daily operations.

10. Knowledge of use of office equipment, such as printers and fax machines.

11. Highly resourceful team player who can effectively work with staff at other

12. Ability to adapt to changing priorities.