What are the responsibilities and job description for the Transitional Care Coordinator position at ChenMed?
ChenMed is transforming healthcare for seniors. We provide big answers to big problems in health care delivery. ChenMed is a full-risk primary care market leader with an innovative philosophy, unique physician culture and end-to-end customized technology. These things allow us to provide world-class primary care and coordinated care to the most vulnerable population – moderate- to low-income seniors who have complex chronic diseases.
Through our innovative operating model, physician-led culture and empowering technology, we are able to drive key quality and cost outcomes that create value for patients, physicians and the overall health system. Our model allows us to practice medicine the way it should be practiced. By recruiting focused physicians and reducing their doctor-to-patient ratios, we increase patients’ “face time” during each monthly appointment and help foster stronger doctor-patient relationships. Our model also drives and enhances compliance with treatment plans.
As a result of our efforts, our patients realize lower hospital admissions. Their overwhelming response to our approach is reflected in our aggressive, organic growth and net promoter scores in the low to mid 90s, which is unheard of in any industry. Read more about our results and the value of the ChenMed model.
As a company, we are making a difference in the lives of seniors and the health care system overall.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
- Responsible for transition of care planning and serve as the hub, in collaboration with the case manager, for distribution of treatment plan to community based service providers post discharge.
- Documents all aftercare and transition information in member record.
- Secures discharge and transition plans from discharging facilities and evaluating plans to ensure compliance with clinical and quality requirements.
- Serves as a bridge between inpatient and outpatient treatment providers.
- Notices health plan partner of all inpatient admissions and discharges and engaging health plan staff in discharge planning activities as needed in conjunction with the assigned care manager.
- Works with care management staff to secure required release of information to allow for coordination with and notification to primary care physician and other specialty providers for members transitioning into our out of inpatient levels of care.
- Identifies community resources and services to improve program effectiveness and quality.
- Other duties as assigned and modified at manager’s discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
- High Level of proficiency with Microsoft Office Suite, including intermediate Word, Excel & PowerPoint skills.
- Strong interpersonal, communication and critical thinking skills are required.
- Ability to work autonomously is required.
- Fluent in English.
At ChenMed, If you are an innovative, entreprenuerial minded, over-achiever who is extremely passionate in helping people and revolutionizing Healthcare again, we are that dynamic and exciting company you are looking for!
After applying, we encourage you to "follow" us on LinkedIn (ChenMed) as well! This way you can stay informed and up to date on what’s happening around our organization and start your path to becoming part of our FAMILY!
EDUCATION AND EXPERIENCE CRITERIA:
- Bachelor’s degree in related field.
- Two (2) to three (3) years general health care business administration experience in a hospital or post-acute setting.
