Transition of Care Service Coordinator - Tarrant County TX
Transition of Care Service Coordinator - Tarrant County TX
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$ 60522 - 129615
1 Vacancy
Job Description
At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and more compassionate. And we do it all with heart each and every day.
Summary
The Transition of Care Service Coordinator is responsible for care coordination of our members who are experiencing a significant change in health status which has resulted in an inpatient admission. The Transition of Care (TOC) Service Coordinator ensures the member experiences a seamless transition to their next care setting.
Position Responsibilities
- Responsible for telephonic and/or face to face assessing planning implementing and coordinating all care management activities with members to evaluate the medical and behavioral health needs to facilitate the members overall wellness.
- Develops a proactive course of action to address issues presented to enhance the short and longterm outcomes as well as opportunities to enhance a members overall wellness through integration.
- Using clinical tools and information/data review conducts comprehensive assessments of members needs and recommends an approach to case resolution by meeting needs in alignment with their benefit plan and available internal and external programs and services.
- Applies clinical judgement to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
- Complete assessments taking into account information from various sources to address conditions including comorbid and multiple diagnosis that impact functionality and include the members restrictions/limitations.
- Ability to speak to medical and behavioral health professionals to influence appropriate member care.
- Use advanced clinical skills to perform crisis intervention with members experiencing a behavioral or medical crisis and refer them to the appropriate clinical providers for assessment and treatment as clinically indicated.
- Attends and participates in case rounds including utilization management rounds for behavioral health and physical health to obtain multidisciplinary view to achieve optimal outcomes.
- Collaborates with the member and inpatient facilities to coordinate discharge needs including ensuring post discharge needs are met.
- Utilizes influencing/motivational interviewing skills to ensure maximum memberengagement and discern their health status and health needs based on key questions andconversation.
- Provides coaching information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
- Helps member actively and knowledgably participate with their provider in healthcare decisionmaking.
- In collaboration with the member and their care team develops and monitors established plans of care to meet the members goals.
- Utilizes care management processes in compliance with regulatory and company policies and procedures.
- Follows members identified as inpatient in hospitals (whether planned or unplanned admission) and throughout subsequent care continuum.
- Facilitates clinical hand offs during transitions of care.
- Reports to: Manager Clinical Health Services
Required Qualifications:
- Active current unrestricted RN licensure in the state of Texas
- Must reside in Tarrant County or adjacent county
- 3 years clinical practice experience e.g. hospital setting
- 3 years of discharge planning experience
- 2 years experience managing complex medical conditions
- 2 years behavioral health conditions
- Willing and able to travel 50 of their time to meet members face to face in the Tarrant County area. Reliable transportation required;Mileage is reimbursed per our company expense reimbursement policy
- 2 years experience using personal computer keyboard navigation navigating multiple systems and applications; and using MS Office Suite applications (Teams Outlook Word Excel etc.
Preferred Qualifications:
- Behavioral Health Experience
- Case management in an integrated model
- Experience providing care to the Medicaid population
- Bilingual in Spanish
Education:
- Minimum of an Associates degree in Nursing
- BSN preferred
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$60522.00 $129615.00This pay range represents the base hourly rate or base annual fulltime salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience education geography and other relevant factors. This position is eligible for a CVS Health bonus commission or shortterm incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers patients members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages our great benefits include:
Affordable medical plan options a 401(k) plan (including matching company contributions) and an employee stock purchase plan.
Nocost programs for all colleagues including wellness screenings tobacco cessation and weight management programs confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off flexible work schedules family leave dependent care resources colleague assistance programs tuition assistance retiree medical access and many other benefits depending on eligibility.
Required Experience:
IC
Employment Type
Full-Time
