Patient Transition Coordinator

Job description

Company: Ascension at Home together with Compassus Position Summary: The Patient Transition Coordinator supports seamless care transitions by coordinating referrals to hospice, home health, home infusion, and palliative services. This role works closely with Care Transition Coordinators and Home Health Care Transition Coordinators to ensure patients receive timely and appropriate services. The Coordinator promotes Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation, upholds the Code of Ethical Conduct, and fosters positive working relationships across the organization and with external partners. 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 intake teams. - Responsible for completing the transition of care, including submission of complete referral, and, securing outside agency placement if Compassus/Ascension at Home is u...