Transitional Care Associate Home Care

Primary City / State :

Mesa, Arizona

Department Name :

Banner Staffing Services-AZ

Work Shift : Weekend

Weekend

Job Category : Clinical Care

Clinical Care

The future is full of possibilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be.

If you’re ready to change lives, we want to hear from you.

As a Transitional Care Associate, you work with our intake department assisting with new referrals for home health, also working with the care coordination team to collect all required information and instructions from the hospital teams prior to discharge to facilitate care with Home Health.

Current needs will be primarily Saturday and Sunday in the East Valley and surrounding areas. between the hours of 7 : 00am - 4 : 00pm.

Banner Staffing Services (BSS) also offers Registry / Per Diem opportunities within Banner Health. Registry / Per Diem positions are utilized as needed within our facilities.

These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health.

As a valued and respected Banner Health team member, you will enjoy :

Competitive wages

Paid orientation

Flexible Schedules (select positions)

Fewer Shifts Cancelled

Weekly pay

403(b) Pre-tax retirement

Employee Assistance Program

Employee wellness program

Discount Entertainment tickets

Restaurant / Shopping discounts

Auto Purchase Plan

BSS Registry positions do not have guaranteed hours and no medical benefits package is offered . BSS requires Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes;

employment, criminal and education).

POSITION SUMMARY

This position facilitates the safe and timely transition of clients from acute care to alternative levels of care such as skilled nursing facility, long-term acute care, inpatient rehabilitation, home infusion therapy, hospice and / or home care or community program.

Facilitates discharge plan for the transition of care and services into the designated setting or service. Provides on-site or telephonic discharge arrangements to post-acute and community services.

CORE FUNCTIONS

1. Processes and facilitates the timely discharge / transfer of clients from hospital care to identified post-acute setting.

Notifies care coordination team member(s) if patient or caregiver demonstrate or verbalize any inability / concern to be able to manage their post-acute plan or responsibilities.

2. Facilitates / implements the care plan with proposed interventions in collaboration with healthcare team. Collaborates with all members of the healthcare team to implement, manage and communicate the transition of care arrangements.

3. Participates in performance improvement projects, Banner initiatives and performs data collection for measurement of projects as assigned.

4. Documents all interventions in the patient medical record both timely and accurately including all elements of the discharge plan.

Performs transfer of accurate, pertinent patient information between all appropriate entities of the post-acute care continuum.

5. Assist and support patients and families in making appropriate arrangements for the post-acute plan. Performs follow-up calls to patients and providers as indicated and report any concerns to leadership.

6. Serves as an intermediary when providing community resources to patients, caregiver, and families. Discusses with patient, caregiver, and / or family maintaining clear communication regarding anticipated discharge date and potential care settings.

7. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with transition of care planning and choices.

8. Employee has freedom to determine how to best accomplish functions within established procedures and implements the discharge plan under the delegated authority of a provider, licensed MSW, registered nurse or other licensed healthcare professional.

Confers with supervisor / manager on any unusual situations and communicates plans and activities for patient discharge across the care continuum.

Internal customers : Post-acute services team members and all levels of nursing management and staff, medical staff, and all other members of assigned facility interdisciplinary health care team.

External customers : home health agencies, nursing homes, insurance providers, group homes, assisted living facilities, hospice, long-term acute care hospitals, inpatient rehabilitation facilities, volunteer agencies, county / governmental agencies and medical supply companies and others as required.

MINIMUM QUALIFICATIONS

A Bachelor’s degree in social work or related degree or a Licensed Practice Nurse, or a Licensed Respiratory Therapist required.

Must have knowledge of government / community agencies and resources, such as Medicare / Medicaid, long term care or other applicable resources / services.

Must demonstrate effective communication and customer service skills, human relation skills and time management skills. Must be able to work flexible hours and work weekends on rotation.

BLS required. (BLS is not required for employees working in the Insurance Division.)

Employees working at BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of