Patient Transition Coordinator

Position Summary

The Patient Transition Coordinator is responsible for modeling the 3 Company values of Compassion, Integrity, and Excellence, and for promoting the Compassus philosophy, using the 6 Pillars of success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. Position is key to care transitions supporting the referral to hospice, home health, home infusion and palliative through collaboration with the Care Transition Coordinator.

Position Specific Responsibilities

Organizes, tracks, and builds a complete medical record for appropriate patient transition to the home health providers; and confirms start of care (SOC) for each patient referred. Responsible for identifying all post-acute care needs and collaborating with the Care Transition Coordinator. Collaborates with all Compassus/Ascension at Home/Beyond Home Health intake teams. Responsible for completing the transition of care, including submission of complete referral, and, securing outside agency placement in the event that Compassus/Ascension at Home/Beyond Home Health is unable to service the patient. Organizes and prioritizes large volumes of information. Displays exceptional customer service to our patients/families/referral sources. Handle confidential and non-routine information. Manage and create general correspondences, memos, charts, tables, graphs, business plans, etc. Effectively utilize computer software applications in word processing, spreadsheets, database and presentation software (MSWord, Excel, Access, PowerPoint). Work requires continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines. Perform other duties as assigned.

KNOWLEDGE AND SKILLS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education And/or Experience

Bachelor’s Degree required, degree in health- related field preferred. Minimum one year experience in a related health care setting. One (1) year experience in home health, hospice and/or palliative preferred. Prior experience with electronic medical records preferred. Knowledge of HH, HO, Palliative eligibility requirements preferred.

Certifications, Licenses and Registrations

Compassus, including all Compassus affiliates, complies with applicable Federal civil rights laws and does not discriminate on the basis of

race, color, national origin, age, disability, or sex. Compassus, including all Compassus affiliates, does not exclude people or treat them

differently because of race, color, national origin, age, disability, or sex.