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    Transition Care Coordinator- RN - Columbus, United States - MedOne Healthcare Partners

    MedOne Healthcare Partners
    MedOne Healthcare Partners Columbus, United States

    2 days ago

    Default job background
    Full time
    Description
    MedOne is setting the standard for patient care.

    We are an independent, hospital medicine practice of more than 180 physicians and advanced practice clinicians, as well as more than 35 administrative staff, who are united by a single purpose—to make healthcare better.

    It's been our mission from day one, and we are relentless in our pursuit to improve the delivery of high-quality care for our patients and our partners.


    We are seeking a Transition Care Coordinator who will work collaboratively with MedOne providers to improve transition of care for MedOne patients.

    Assists in the coordination of services and social barriers to reduce the risk of re-hospitalization.


    RESPONSIBILITIES
    ESSENTIAL FUNCTIONS OF THE JOB INCLUDE, BUT ARE NOT LIMITED TO:

    Review RMH ICU admissions and hospitalist lists to ensure that MedOne is being consulted if the patient follows with a MedOne preferred PCP.

    Complete medication prior authorizations.
    Outreach to MedOne acute team to notify of a MedOne attributed patients' acute care admission
    Collaborate/Assist with MedOne case management across the continuum of care.
    Assist MedOne with transitions of care bidirectionally (Inpatient to Post-Acute and visa versa).
    Cross cover as needed to cover vacations, time off between inpatient and post-acute sites

    Contact selected patients by phone within 2 days after discharge, as time allows to review discharge instructions, be sure patient's have new medications, follow up appointments are arranged, determine there are any patient needs, and answer patient questions.

    Document, communicate and collect patient data to evaluate and improve timeliness and appropriateness of care with the goal of avoiding hospital re-admission.

    Provide ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs.

    Act as a liaison between physicians, outside offices, nurses, pharmacy, laboratories, home health companies and other support services needed by the patient to organize and coordinate cost effective and patient-centered care to maximize outcomes and avoid hospital readmission.

    May assist in the scheduling of diagnostic tests and treatment modalities, prescription drug instructions and other services.
    Provides patient and family health education and health assessment during the treatment period.
    Work with the patient and provider for alternatives to high-cost medications.
    Assist patient with linking with a PCP.
    Utilize outside resources such as low/no cost medical clinics and/or pharmacies for the uninsured population.


    QUALIFICATIONS:

    Education:
    Associate Degree in Nursing or BSN


    Certification/Licensure:
    Current Ohio Registered Nurse license
    CPR/BLS Certification
    Experience: 2 Years prior Case Management experience required


    Skills:
    Highly organized; Ability to multi-task and prioritize
    Clinical knowledge to facilitate patient care under the direction of a physician or APP
    Excellent communication skills at the patient and physician level
    Detail oriented; Able to follow note standards for documentation
    Ability to work independently and collaborate with team members including providers and outside resources as needed
    Ability to establish and maintain effective working relationships with providers, staff and contacts outside the organization; Engage in MedOne culture
    Able to maintain strict patient confidentiality and follow HIPAA rules and regulations

    Benefits:
    Eligible for insurance benefits on first day of full-time employment.

    MedOne offers generous benefits to support you and your family, including:

    Employer-paid employee medical insurance
    Employer-paid employee short- and long-term disability
    Employer-paid employee life insurance
    Optional dental and vision insurance
    Company-sponsored 401(k) plan, plus company match of 6% with immediate vesting
    Employees are eligible for 401K contributions beginning the first day of the month following their full-time employment
    Optional Health Savings Account (HSA) and Flexible Spending Account (FSA)
    Voluntary Life & AD&D coverage
    Paid Cell phone service through Verizon
    Internet stipend
    Free parking at all care site locations
    Branded MedOne apparel covered at 50%
    Competitive salary and annual bonus

    Why MedOne?
    We find the most compelling benefits are those that can come only from being part of a rare, cohesive team:
    Collegiality
    Job satisfaction
    Shared accountability and responsibility
    Mutual respect and support
    Pride in belonging to an elite team of providers

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