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Transitional Care Coordinator - Onsite in Charlotte County
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Full-time
- The Transition Care Coordinator is responsible for coordinating care for patients across the continuum to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes.
- Partner with medical staff and leadership within hospitals, post-acute providers, physician practices, within WellSky and at client to identify and triage rising risk patients, reduce barriers to home discharge, improve patient progression in post-acute, and reduce readmission risk of patients’ post-discharge.
- Work with provider engagement teams to build partnerships with acute and post-acute providers, including regular review of performance and patient outcomes.
- To be accountable for remaining current with knowledge of Acute Discharge Planning, Complex Care Management, Chronic Disease Self-Management, Patient Centered Medical Home, and Care Transitions.
- Maintains a working knowledge of and adheres to applicable federal /state regulations including but not limited to laws related to patient confidentiality, release of information, and HIPPA.
Expired 7 days agoInactive Job
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