Care Transition Coordinator, RN

BayCare; Sarasota (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in Sarasota is seeking a Care Transition Coordinator, RN to manage transitions of care from acute settings to home. The ideal candidate will have a valid Florida RN license and strong business development skills. Responsibilities include patient education, collaboration with referral sources, and oversight of Care Coordination Assistant team. This full-time role emphasizes customer service and regulatory compliance in home health care.

Qualifications

• Active/Clear Florida RN license is required.
• CCMC Certification preferred.
• 3 years of Nursing experience preferred.
• 1 year of Home Care experience preferred.

Responsibilities

• Responsible for transitions of care from acute and subacute settings to home.
• Provide education on homecare services to community groups and physicians.
• Collaborate with business development team for market share.
• Timely communication with referral sources.
• Conduct preadmission assessments and educate patients and caregivers.
• Oversight of Care Coordination Assistant team.

Skills

Business Development skills

Education

Associate's or Diploma in Nursing

Bachelor's in Nursing (preferred)

Job description

Overview

BayCare Homecare is seeking a Care Transition Coordinator, RN who is passionate about providing outstanding customer service to the home care community.

BayCare is one of the largest employers in the Tampa Bay area with a network of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. Supported by more than 30,000 team members, BayCare promotes a philosophy of trust, dignity, respect, responsibility and clinical excellence.

Position Details

• Facility: BayCare Health System, Care Coordination West- HomeCare
• Location: Sarasota Memorial Hospital - Sarasota, FL
• Status: Full-Time, Exempt
• Shift Hours: 8:00 AM - 5:00 PM
• Weekend Work: Every Other
• On Call: No

Responsibilities

• The Care Transition Coordinator, RN is responsible for transitions of care from acute and subacute settings to home with home health care.
• Provide education of homecare services to community groups and physicians.
• Collaborate with the business development team in gaining and maintaining market share through the referral intake process.
• Collaborate with referral sources in transitions of care.
• Timely communication with all referral sources telephonically as well as through electronic platforms.
• Provide clear, concise referrals to the homecare division meeting all regulatory, payer, and safety requirements.
• Completion of preadmission assessment and education to patient and caregiver of homecare services.
• Coordination of Homecare and Pharmacy and communication with referral sources and physicians.
• Responsible for knowledge of Medicare and Managed Care regulations and requirements.
• Timely response to referral sources, providers, and leadership is essential.
• Responsible for documenting face-to-face encounter, verifying POC and following Physicians which is a condition of payment.
• Oversight of Care Coordination Assistant team.
• Identifies patients appropriate for disease management programs and telehealth.
• Performs ICD-10 coding of referrals.
• Identifies potential MSP scenarios.
• Responsible for leading MDI huddles on rotation basis.
• Monitors and communicates referral source activity acting as a single point of contact for referral sources, home health, and infusion.
• Will be responsible for additional transitions of care duties as assigned.

Requirements

• Active/Clear Florida RN license is required
• Business Development skills required
• Required Associate's Nursing or Diploma Nursing
• CCMC Certification preferred
• Preferred Bachelor\'s Nursing
• Preferred 3 years Nursing
• Preferred 1 year Home Care

Equal Opportunity Employer Veterans/Disabled