Care Transition Coordinator

Essential Job Responsibilities

• Coordination of referral for Home Infusion services by obtaining comprehensive referral information, medical records review and verification of benefits to ensure eligibility of home infusion needs prior to hospital discharge.
• Confers with hospital discharge planner, physicians, home care agencies and other hospital staff as needed to educate and identify patient home infusion needs upon request by case manager, social service, and/or physician.
• Identifies patient’s home infusion needs through review of medical record, physician orders, interviews with patient and family.
• Identifies potential risk management problems for patients being discharged with home infusion services and reports cases to Director and/or Case Manager.
• Obtains essential information needed to determine an individual’s eligibility for entry into home care.
• Formulates a referral for home infusion services in collaboration with the prescribing physician, professional staff and patient/family.
• Provides patient with information regarding home infusion services.
• Discusses medical insurance coverage related to home infusion services and patient financial responsibility with patient/family as necessary.
• Provides the company with complete and accurate referral information prior to patient hospital discharge.
• Responsible for understanding the expectations of the hospital and Company in the discharge planning process.
• Discusses company/hospital service issues to formulate a plan for home infusion coordination and referral processes.
• Promotes a positive image for the hospital department and the home infusion company, through collaboration and communication with hospital and home infusion company personnel.
• Works with home infusion company Pharmacy, Nursing, Intake, and Quality Depts to ensure timely, safe and accurate delivery and administration of medications, supplies and equipment.
• Maintains start of infusion care as directed by physician.
• Identifies home infusion company’s scope of services.
• Ensures customer satisfaction ratings are within hospital and home infusion company standards in case management measured areas.
• Complies with all HIPAA, state, federal, regulatory, and accrediting body requirements.
• Maintains current knowledge of insurance coverage, payor contractual obligations, and reimbursement regulations.

Minimum Requirements

• A minimum of 3-5 years’ 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 it applies to infusion care is preferred.
• RN or LPN 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.
• Must be capable of learning basic computer skills: Microsoft Word, E-mail and data entry.
• Valid driver’s license with driving record and auto insurance that meets company standards.
• Registered Dietitian preferred.

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 for this job include: close, distance and peripheral vision, and the ability to adjust focus;

Benefits

• Medical/Dental/Vision
• STD/LTD Group
• Term Life
• Voluntary Life and AD&D
• 401K with Company Match
• Paid Sick Leave
• Paid Time Off
• 6 Paid Holidays

Pay

TBD

Schedule

TBD

Skills

N/A

Qualifications

N/A

Benefits

N/A

Company Overview

InfuCare Rx is a leading data driven nationwide specialty infusion therapy provider focused on treating patients with chronic conditions who require comprehensive clinical management services. We have created an ethical and quality work environment for our employees that cultivate achievement and success.