Description
We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.
The Transition of Care Coach is responsible for care coordination of members who are experiencing a significant change in health status, resulting in an emergency department visit, inpatient, skilled nursing, or rehabilitative stay.
Key Responsibilities:
- Complete post-discharge questionnaires within required compliance-driven timelines
- Provide comprehensive discharge planning
- Ensure members have filled/received their medication(s) and understand how to take their ordered medications
- Offer benefit education and clinical assistance to determine appropriate services and supports
- Evaluate health and social indicators, identifying barriers to achieving optimal member health
- Apply strategies to reduce member risk and facilitate overall care coordination with the care team
- Coordinate post-discharge meal delivery, assist with securing DME, and ensure timely physician follow-up
- Understand Payer/Plan benefits, policies, and procedures, articulating them effectively to providers, members, and other key personnel
Requirements:
- 2+ years of work experience
- LPN/LVN License in good standing with no restrictions
- Advanced proficiency in Microsoft Word, Excel, and Outlook
- Ability to multitask, prioritize, and adapt to a fast-paced changing environment
- Effective verbal and written communication skills
Preferred Qualifications:
- Bilingual
- Compact Licensure
Education:
- Associate's Degree Required
- Bachelor's Degree Preferred
Anticipated Weekly Hours: 40
Time Type: Full-time
Pay Range: $22.40 - $48.67
Benefits: This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
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