Care Transitions Clinical - Remote

Job description

Overview Support Patients. Ensure Smooth Transitions. Enable Quality Care. The Care Transitions Clinical reports to the VP of Care Coordination and supports the Director of Care Transitions in proactively identifying patients potentially suitable for hospice care. This role tracks patients to ensure optimal continuity of care during their transition into our services. This position does not conduct patient assessments, care planning, or discharge planning. As a Care Transitions Clinical, You Will: Review medical records against nationally recognized clinical criteria guidelines under the oversight of the Director of Care Transitions (DCT) Document and track patients within Gentiva systems and send referrals as directed by the DCT Focus on placing patients in the right care setting at the right time Collaborate closely with the Director of Care Transitions to ensure smooth patient transitions Participate in special projects and perform other duties as assigned Provide education regarding Home Health, Hospice, and Palliative Care services Assist with clinical eligibility review for alternate services Adhere to and participate in mandatory Company training, including HIPAA, Business E...