RN Patient Transition Coordinator Senior at Riverside Health System

Newport News, Virginia, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Feb, 26

Salary

0.0

Posted On

10 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Coordination, Customer Service, Clinical Review, Data Collection, Referral Management, Medicare Knowledge, Insurance Coverage, Communication, Team Collaboration, Training, Home Care Services, Discharge Planning, Problem Solving, Documentation, Leadership, Patient Interviews

Industry

Hospitals and Health Care

Description

Newport News, Virginia Overview Performs coordination of patient services to provide a seamless transition from acute and long term care settings to Home Care. Elements required for above include data collection and clinical review of all referrals; determination of referral acceptance based on established criteria and collaboration with Home Care team members; attaining and remaining knowledgeable and current related to Medicare/Insurance reimbursement and basic coverage criteria, and of service lines and products; and conferencing with patients, families, dc planners, physicians, medical staff and others to coordinate and facilitate transition and services. Works closely with facility care management/discharge planners to identify potential referrals for Home Care Services. Provides exceptional customer service and serves as the 'face' of RHCD to all contacts by telephone, in person and via electronic media. Provides leadership to and collaboration with the RHCD Patient Transition Coordinators. What you will do Performs coordination of services to provide a seamless transition from acute and long-term care to Home Care. Completes clinical review of data collected and accurately determines appropriateness and acceptance of referrals based on established criteria. Coordinates services and dissemination of information, and facilitates transfer of referral to other agency for referrals declined by RHCD. Performs any follow up and continues communication with all parties until referral is complete and/or services are provided or cancelled. Serves as an information resource for all RHCD services including contact information, coverage criteria, availability of services and alternatives to RHCD services when appropriate. Provides exceptional customer service by tone of voice, willingness to help, using clinical knowledge to collect complete and appropriate data for referrals, and to field phone calls/pages/in-person inquiries efficiently and appropriately. Accurately and efficiently enters data into and retrieves data from various computer systems. Accurately and efficiently records data to specified RHCD forms. Works closely with care management team/discharge planners to identify potential referrals for RHCD services. Builds comprehensive knowledge base, and continuously works toward remaining knowledgeable and current of Medicare/Insurance information and regulations, RHCD products and services and community resources. Assists Central Intake Manager with review, updating and creation of policies, procedures and processes as needed. Performs patient interviews and/or family conferences to inform of ordered services, verify demographics, answer any questions, discuss insurance coverage as appropriate, discuss any special circumstances or barriers to a safe transition or care at home as appropriate. Keeps team informed of changes as they arise. Is supportive of and takes initiative in training new employees. Qualifications Education High School Diploma or GED, (Required) Program Graduate, Registered Nurse (Required) Bachelors Degree, Nursing (Preferred) Experience Acute Care (Preferred) Home Health, Home Infusion, Hospice or Discharge Planning (Preferred) Licenses and Certifications Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) (Required) CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required) Valid Drivers License Required To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers. If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At Riverside Health, your trust and safety are our top priorities. Unfortunately, job scams are on the rise across the country, and we want to help you feel confident in knowing what is — and is not — part of our hiring process. Learn more about how to recognize a legitimate Riverside job opportunity and what to do if you suspect a scam by visiting this site.

Responsibilities

The RN Patient Transition Coordinator Senior coordinates patient services to ensure a seamless transition from acute and long-term care to Home Care. This includes clinical review of referrals, collaboration with care teams, and providing exceptional customer service throughout the transition process.