Care Transition Coordinator

This position requires travel within the South New Jersey territory and candidates must live within the territory.

About the Role

InfuCare Rx is a leading home infusion provider accredited by URAC and ACHC, offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical, team-oriented, and quality work environment for our employees that cultivates achievement and success.

The Care Transition Coordinator (liaison) position involves indirect patient care for a population of patients within a wide range of ages and home infusion therapy needs. Using discretion and independent judgment, the Care Transition Coordinator acts as the interdisciplinary coordinator responsible and accountable for developing timely, complete, appropriate, and individualized home infusion referrals for patients returning to the home setting with home infusion services. The liaison is also responsible for incorporating available community resources into the patient-centered home infusion referral. This position requires the ability to work independently and with minimal supervision and reports directly to the Area Sales Director. Travel is required as part of the job function.

Responsibilities

• Coordinate referrals for home infusion services by obtaining comprehensive referral information, reviewing medical records, and verifying benefits to ensure eligibility prior to hospital discharge.
• Confer with hospital discharge planners, physicians, home care agencies, and other hospital staff to educate and identify patient home infusion needs upon request by case managers, social services, and/or physicians.
• Identify patient’s home infusion needs through review of medical records, physician orders, and interviews with patients and families.
• Identify potential risk management problems for patients being discharged with home infusion services and report cases to the Director, Case Manager Supervisors, and Company.
• Obtain essential information needed to determine an individual’s eligibility for entry into home care based on admission criteria, patient needs, and the company’s ability to meet those needs.
• Formulate referrals for home infusion services in collaboration with the prescribing physician, professional staff, and patient/family.
• Provide patients with information regarding home infusion services, including medical insurance coverage and patient financial responsibility.
• Ensure the company receives complete and accurate referral information prior to patient hospital discharge.
• Understand the expectations of the hospital and company in the discharge planning process and discuss service issues to formulate a plan for home infusion coordination and referral processes.
• Promote a positive image for the hospital department and home infusion company through collaboration and communication with hospital and company personnel.
• Participate in patient home infusion coordination of care processes, working with Pharmacy, Nursing, Intake, and Quality departments to ensure timely, safe, and accurate delivery and administration of medications, supplies, and equipment.
• Maintain the start of infusion care as directed by the physician.
• Identify the home infusion company’s scope of services and ensure customer satisfaction ratings meet hospital and company standards in case management measured areas.
• Comply with all HIPAA, state, federal, regulatory, and accrediting body requirements.
• Maintain current knowledge of insurance coverage, payor contractual obligations, and reimbursement regulations.
• Perform other duties as assigned.

Requirements

• Minimum of 3-5 years of experience in infusion therapy, home care, or a hospital-related setting.
• Practical knowledge of state and federal regulatory requirements and knowledge of JCAHO or ACHC regulations as they apply to infusion care is preferred.
• RN or LPN license is a plus.
• Strong organizational skills and liaison capabilities with well-developed written and verbal communication skills.
• Able to work independently with minimal supervision.
• Working knowledge of insurance industry requirements and patient counseling/education preferred.
• Capable of learning basic computer skills: Microsoft Word, email, and data entry.
• Valid driver’s license with a driving record and auto insurance that meets company standards.

Physical Demands

• Required to stand, walk, sit, talk, and hear.
• Required to use hands to operate vehicles and office equipment.
• Must be able to occasionally lift and/or move up to 25 lbs.
• Specific vision requirements include close, distance, and peripheral vision, and the ability to adjust focus.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care.