Transitional Care Coordinator (Hospital)

Job Description

Job Description

PURPOSE: The Transitional Care Coordinator (TCC) serves as a support professional to work with families as they consider hospice care. This role works with the Business Development and clinical teams to ensure exemplary patient and family experience while transitioning to hospice care.

Qualifications:

· Bachelor's degree in healthcare, social work, nursing or health related field preferred.

· Minimum 2 years of experience in hospice, palliative care, hospital discharge planning or case management.

· Strong understanding of hospice eligibility and transitions of care.

· High attention to detail and follow-through

· Exceptional interpersonal communication and customer service skills

RESPONSIBILITIES (including, but not limited to):

This position does have supervisory duties

· Provide compassionate education on hospice philosophy, benefits, services and levels of care.

· Conduct bedside or virtual meetings with patients and families to assess needs and address concerns.

· Respond promptly to new referrals and collaborate with referral sources, community liaison and clinical team.

· Support families through the consent and admission process.

· Track referral patterns, conversion trends, and non-admission reasons.

· Follow pending patients through to admission.

· Document patient interactions via coordination notes in EHR.

· Perform administrative duties as instructed by director of business development.

· Attend team meetings and provide patient status updates.

· Complete reports and present to business development leadership.

· Gather documents for intake, medical records, facilitate signed orders when needed.

· Adhere to the practice of confidentiality regarding all patients, staff, customers and all aspects of the organization.

· Ensure that Grace Healthcare Services' best practices are incorporated into all job activities/responsibilities.

· Perform other duties as necessary.

Having read and understand the foregoing job description, I hereby agree to the fulfillment and requirements