RN - Care Transition Coordinator (Case Management) - Aiken, United States - Aiken Regional Medical Centers

Description

Job Description

Transition of Care (TOC) Coordinator - Full-time ( hours)

Monday - Friday 8am - 5pm

Aiken Regional Medical Centers, located in Aiken, South Carolina, is a -bed acute care facility providing quality healthcare to the residents of Aiken and surrounding communities. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the Carolina Center for Medical Excellence for its treatment of heart attack, heart failure and pneumonia. Services provided at the hospital include emergency medical care, orthopedic surgeries, maternity, and behavioral health services.

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The Transition of Care (TOC) Coordinator is a Registered Nurse, Case Manager who is a healthcare professional that is responsible for coordinating and managing the discharge process for patients in an acute hospital setting. Their primary role is to ensure a smooth transition from the hospital to home or the next level of care, optimizing resources for the patient's recovery and successful healthy living environment.

Key Responsibilities:

· Assess patient's condition and needs to develop an effective discharge plan

· Ensure smooth transitions between different levels of care, such as from the emergency room to the medical unit or from the hospital to home or a rehabilitation facility.

· Collaborate with physicians, nurses, and other members of the interdisciplinary team to implement the discharge plan.

· Coordinate and monitor the progress of the patient's care plan, working closely with the clinical team.

· Communicate and explain the discharge plan to patients and their families, addressing any concerns or questions they may have.

· Arrange necessary aftercare services such as home care, physical therapy, medical equipment, or follow-up appointments.

· Work closely with insurance providers to understand patient's coverage and benefits, and to ensure the necessary services are covered.

· Advocate for the patient's needs and preferences, ensuring their voice is heard in decisions about their care.

· Maintain detailed records of patient interactions and discharge plans, ensuring compliance with all relevant regulations and confidentiality requirements. Including data collection for hospital and state programs.

· Provide education and resources to patients and their families to promote health and prevent readmission.

Benefit Highlights

Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune corporation, annual revenues were $.4 billion in 2. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately , employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.