Care Transition Coordinator
Care Transition Coordinator
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Job Description
InfuCare Rxis a leading home infusion provider accredited by URAC and ACHC offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical team oriented and quality work environment for our employees that cultivates achievement and success.
Job Summary:
The Care Transition Coordinator (liaison) position involves indirect patient care for a population of patients within a wide range of ages and home infusion therapy needs. Special training and/or expertise is required to serve this population. Using discretion and independent judgment the Care Transition Coordinator acts as the interdisciplinary coordinator responsible and accountable for developing timely complete appropriate and individualized home infusion referrals for patients returning to the home setting with home infusion services. The liaison is also responsible for incorporating available community resources into the patient centered home infusion referral. This position requires the ability to work independently and with minimal supervision. The Care Transition Coordinator reports directly to the Area Sales Director. Travel is required as part of the job function.
Primary Responsibilities:
- Coordination of referral for Home Infusion services by obtaining comprehensive referral information medical records review and verification of benefits to ensure eligibility of home infusion needs prior to hospital discharge.
- Confers with hospital discharge planner physicians home care agencies and other hospital staff as needed to educate and identify patient home infusion needs upon request by case manager social service and/or physician.
- Identifies patients home infusion needs through the review of medical record physician orders and interviews with patient and family.
- Identifies potential risk management problems for patients being discharged with home infusion services and reports cases to Director and/or Case Manager Supervisors and Company.
- Obtains essential information needed to determine an individuals eligibility for entry into home is based on admission criteria; patient needs and companys ability to meet patient needs.
- Formulates a referral for home infusion services in collaboration with the prescribing physician professional staff and patient/family.
- Provides patients with information regarding home infusion services.
- Discusses medical insurance coverage related to home infusion services and patient financial responsibility with patient/family as necessary.
- Provides thecompanywith complete and accurate referral information prior to patient hospital discharge.
- Responsible for understanding the expectations of the hospital and Company in the discharge planning process.
Discusses company/hospital service issues to formulate a plan for home infusion coordination and referral processes. - Promotes a positive image for the hospital department and the home infusion company through collaboration and communication with hospital and home infusion company personnel.
- Responsible for participationin patient home infusion coordination of care processes.
- Works with home infusion company Pharmacy Nursing Intake and Quality departments to ensure timely safe and accurate delivery and administration of medications supplies and equipment.
- Maintains start of infusion care as directed by physician.
- Identifies home infusion companys scope of services.
- Ensures customer satisfaction ratings are within hospital and home infusion company standards in case management measured areas.
- Complies with all HIPAA state federal regulatory and accrediting body requirements.
- Maintains current knowledge of insurance coverage payor contractual obligations and reimbursement regulations.
- other duties as assigned under job duties/responsibilities
Required Qualifications:
- The Care Transition Coordinator position requires a minimum of 35 years of experience in infusion therapy home care or a hospital related setting. Practical knowledge of State and Federal regulatory requirements and knowledge of JCAHO or ACHC regulations as it applies to infusion care is preferred. RN or LPN a plus.
- Must have strong organizational skills and liaison capabilities with welldeveloped written and verbal communication skills.
- Able to work independently with minimal supervision.
- Working knowledge of insurance industry requirements and patient counseling/education preferred.
- Must be capable of learning basic computer skills: Microsoft Word Email and data entry.
- Valid drivers license with driving record and auto insurance that meets company standards.
Confidentiality and Compliance:
- Always maintain confidentiality of patient and proprietary information.
- Observe legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary company information.
- Understand and comply with HIPAA rules and regulations.
- For all activities complies with accreditation legal regulatory government and safety requirements.
Physical Demands:
Required to stand walk sit talk and hear; required to use hands to operate vehicles and office equipment;must be able to occasionally lift and/or move up to 25lbs; specific vision requirements for this job include: close distance and peripheral vision and the ability to adjust focus reasonable accommodationsmaybe made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care.
InfuCare Rx is an equal opportunity employer. All employment decisions are made without regard to race color religion national origin military status marital status citizenship/immigration status sex (including pregnancy and relation conditions sexual orientation or gender identity) age 40 and older) disability genetic information (including employer requests for or purchase use or disclosure of genetic tests genetic services or family medical history) retaliation for filing a charge reasonably opposing discrimination or participating in a discrimination lawsuit investigation or proceeding. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer Minority/Female/Disabled/Veteran.
Click here to view our Drug Testing Policy
IC
Employment Type
Full-Time
Key Skills
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