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The Care Coordinator/Care Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment and discharge plan.
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The Home Care Coordinator reports directly to the Director/Alternate Director, serving as a crucial link in the team. Your leadership qualities will shine as you guide a diverse team toward a common goal: enhancing the quality of our clients' home care services and their overall quality of life.
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Works with multidisciplinary team to establish full medical history within 24 hours of admission; including verifying outpatient primary care provider, obtaining recent office records, verifying current medications and working with pharmacy to complete medication reconciliation.
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Collaborate with care team members and external vendors to support patient care (ie: receipt of durable medical equipment (DME) and home health services. Integral to our Care Management team, the Care Coordinator will be accountable for collaborating with the care team to consistently communicate and document high risk patient profiles to provider and practice care teams.
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Enhabit Home Health & Hospice is searching for a RN, LVN, PT, PTA, OT, or MSW to join our team as a Care Transition Coordinator/ Sales Liaison. Admissions Coordinator will assess, plan, implement, coordinate, monitor, and evaluate options and services with a primary goal of providing a safe transition from acute care to home for home health or hospice services.
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The Home Care Coordinator offers a unique opportunity at a new PACE (Program of All-Inclusive Care for the Elderly) program in West Baltimore within the framework of a supportive, innovative, and expert leadership team and company.
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Enhabit Home Health & Hospice is searching for a Registered Nurse (RN) or Physical Therapist (PT) to join our team as a Care Transition Coordinator. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country.
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Assess, plan, implement, coordinate, monitor, and evaluate options and services with a primary goal of providing a safe transition from acute care to home for home health or hospice services.
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Partners with the Interdisciplinary team to facilitate placement in a rehab, SNF, sub-acute, assisted living facility, or home with Home Health Care, as well as arrange DME and other services as ordered.
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Responsibilities Enhabit Home Health & Hospice is searching for a Registered Nurse (RN) or Physical Therapist (PT) to join our team as a Care Transition Coordinator. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
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Maintain effective communication with health care team members related to assessment findings, discharge planning needs and provider orders needed to arrange Homecare, Durable Medical Equipment, Transportation, Skilled Nursing or Acute Rehab Facility placement, Substance Abuse Treatment and outpatient follow-up.
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Integrate evidence-based clinical guidelines, preventative guidelines, protocols in development of transition plans that are patient-centered, promoting quality and efficiency in the delivery of post-acute care.
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Assist patients in the process of navigating post-acute care. The right person for this role will be a Registered Nurse (RN) or Physical Therapist (PT) that is goal driven, sales motivated, and has previous home health or hospice experience.
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Clinical liaison responsible for care transitions program admission activity for territory, while positively impacting patient outcomes and referral source satisfaction. Represent Enhabit in transitional care activities and strategic relationships with health systems, hospitals, inpatient facilities, and physician groups.
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Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required. Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services.
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home care team jobs Title: care coordinator
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