• Transitional Care Navigator

    Job Number
    Banner Desert Medical Center
    Discharge Planning-Hosp
    Address : Street
    1400 South Dobson Rd
    Address : Location
    Work Schedule
    Position Type
    FT: Full-Time
    Posting Category
    Case Management
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    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.


    About Banner Desert Medical Center
    Located on an 80-acre campus in Mesa, Arizona, Banner Desert Medical Center is one of Arizona's largest and most comprehensive hospitals and is recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. We provide an abundance of exceptional opportunities with more than 600 licensed beds, including over 100 dedicated to children. Areas of excellence include high-risk pregnancy and neonatal care, obstetrics and gynecology, pediatrics, cardiology, oncology and emergency medicine. With 21 operating rooms, we offer a full range of surgical specialties and advanced technology that includes the daVincir Surgical System.

    About Banner Cardon Children's Medical Center
    If you desire to provide the best care possible to the most vulnerable patients, come to Cardon Children's Medical Center in Mesa, Ariz. Within our 248-bed, state-of-the-art facility, specially trained nurses, physicians and other clinical professionals utilize the most advanced technology - including iCare ICU monitoring and robotic surgery - to provide high quality, child-friendly, family-centered care. Our facilities feature a recently expanded 104-bed NICU, a 24-bed PICU, six pediatric ORs and a 26-bed ED. We also offer dedicated pediatric rehab, radiology, oncology and hematology capabilities. With clinical diversity, exceptional training programs and a supportive culture, this is a place where you can grow in your career as you help our very special patients.



    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.


    Job 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 physician offices as directed by the care coordination team. This position performs follow-up tasks identified in the inpatient discharge care plan for management of Banner patients across the healthcare continuum.

    Essential Functions

  • Works with the patient to coordinate transition into or out of a care setting in order to obtain 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, obtaining clothing, making physician or outpatient appointments, obtaining test results, delivering equipment from DME closet, and other patient related duties as designated.

  • Performs transfer of accurate, pertinent patient information between all appropriate entities of the acute and post-acute care continuum. Performs follow-up calls to patients and providers regarding their experience with Banner; documenting findings and reporting any concerns or dissatisfaction to leadership for follow-up, issue resolution and data collection.

  • 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.

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

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

  • Minimum Qualifications

    High school diploma/GED or equivalent working knowledge.

    The position requires a proficiency level typically achieved with 3 years 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. In acute care must be able to work flexible hours and work after hours/weekends on rotation.BLS is required for acute-care settings where direct patient care is provided. (BLS is not required for employees working in the Insurance Division.)

    Preferred Qualifications

    Additional related education and/or experience preferred.

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