Transitional Care Coordinator Home Care

Primary City / State :

Mesa, Arizona

Department Name :

Banner Staffing Services-AZ

Work Shift : Job Category :

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 supports the smooth, timely, and coordinated client transition from acute care to alternative levels of care including but not limited to post-acute settings, community services, or home with post-acute service support, as directed by the care coordination team.

This position performs follow-up tasks and coordinates the logistics for a patient’s discharge services identified in the inpatient discharge care plan for management of Banner patients across the healthcare continuum.

CORE FUNCTIONS

1. Works to coordinate the patient’s transition into or out of a care setting and obtains appropriate services and benefits as directed by the care coordination team.

This may include faxing information, entering referrals or tasking other departments or consultants, arranging authorization and transportation, arranging durable medical equipment (DME), coordinating home health care, confirming arrangements, making physician or outpatient appointments, obtaining test results, and other patient related duties as designated.

2. Coordinates and manages the logistics of discharge planning for individual patients and works to coordinate the patient’s transition into or out of a care setting and obtains appropriate services and benefits as directed by the care coordination team.

This may include faxing information, entering referrals or tasking other departments or consultants, arranging authorization and transportation, arranging durable medical equipment (DME), coordinating home health care, confirming arrangements, making physician or outpatient appointments, obtaining test results, and other patient related duties as designated.

Keeps other members of the care team informed of barriers or challenges which might delay the patient’s discharge and works collaboratively with the care team to resolve such challenges.

3. 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 acute and post-acute care continuum relative to the anticipated discharge / transfer of the patient.

4. Works collaboratively with team members; promotes collaborative relationships with vendors, community and referral resources.

5. May perform tasks such as securing community resources / information or other tasks.

6. Works under general supervision. Confers with supervisor on any unusual situations. 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

High school diploma / GED or equivalent working knowledge.

Certification for BLS is required for acute-care settings where direct patient care is provided.

The position requires a proficiency level typically achieved with one year of experience in healthcare as a Nursing Asst, Medical Asst, Health Unit Coordinator, Patient Care Tech, etc.

Must demonstrate effective communication and customer service skills, human relation skills and time management skills with flexibility in responding to multiple demands.

Must be able to work flexible hours and work after hours / weekends on rotation.

Employees working at Banner Behavioral Health Hospital, B