• Transition Care Specialist

    Job Number
    218119
    Facility
    Banner Boswell Medical Center
    Shift
    Day
    Department
    Banner Boswell Medical Center - Case Mgmt-LTC
    Position Type
    FT: Full-Time
    Street Address
    10401 West Thunderbird Blvd
    City & State
    US-AZ-Sun City
    Posting Category
    Case Management
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    Transitional Care Specialist position for the Skilled Nursing Facility: Offers a Monday-Friday day shift!

    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. Our team has come together with the common goal: Make health care easier, so life can be better.  The future of health care starts here. If you’re ready to change lives, we want to hear from you. Apply today.

     

    As a Transitional Care Specialist, you will facilitate the safe and timely transition 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 program. You will also facilitate discharge plan for the transition of care and services into the designated setting or service. Additional responsibilities include providing on-site or telephonic discharge arrangements to post-acute and community services. 
    Transitional Care Specialist processes and facilitates the timely discharge/transfer of patients from hospital care to identified post-acute setting. You should be willing to work collaboratively with care coordination team members to identify any barriers to a safe discharge, and works with patient/family to provide clear communication regarding discharge plan. 

     

    Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

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    About Banner Boswell Medical Center
    Since 1970, Banner Boswell Medical Center has provided exceptional care to the people in the northwest area of metropolitan Phoenix. Today, our 501-bed acute-care hospital is recognized by U.S. News and World Report as one of Phoenix's Best Hospitals and offers a full range of acute care services, including cardiology, oncology, orthopedics, neurology, surgery, rehabilitation, emergency, stroke, intensive care, pulmonary, urology, wound management and sleep disorders. We've earned the Gold Seal of ApprovalT from The Joint Commission for Primary Stroke Centers. We're also in the nation's top five percent for preventing mortality and complications.

     

    Truven-2013
    Stage7-2013

    About Banner Health
    Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

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    Job 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.

     

    Essential Functions

    • 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.

     

    • 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.

     

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

     

    • 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.

     

    • 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.

     

    • 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.

     

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

     

     

    Minimum Qualifications

    A Bachelors 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.)

    Preferred Qualifications

    Previous experience in health care service setting, interacting with patients and families, usually obtained through work in social services, as a licensed practical nurse or in a discharge planning setting.

    Additional related education and/or experience preferred.

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