Care Transition Coordinator

The Care Transitions Coordinator is responsible for executing the sales strategy to increase company market share through account development and educating the medical community on services provided by the company while operating within set budget. The CTC’s primary responsibility is to facilitate a seamless transition for patients discharging from a facility setting to the care of an LHC Group agency for post-acute care needs.
Included and aligned within this responsibility is the understanding and implementation of company market development, initiatives and their role in growth as we focus on serving more patients and delivering exceptional care. The CTC will work directly with the facility discharge planner to verify the receipt of home health orders and the agency's ability to meet the needs of the patient

• Achievement of monthly Personal Production Goals and MC admit budgets for assigned locations while being a good steward of the company’s financial resources by projecting a return on monies spent and managing to a Sales and Marketing expense budget.
• Successfully executes a weekly, monthly, and quarterly strategy to increase market share within facility assigned.
• Following Right of Choice, evaluates patient and orders for suitability for home care.
• Initiates face-to-face patient transition to educate the patient on LHC agency and identifies primary care physician to follow the plan of care.
• Presents agency Executive Director with identification of patient needs to obtain branch approval and acceptance and completes CTC encounter documentation in Home Care Home Base.
• On acceptance, coordinates organization of transfer orders, coordinates other ancillary services for the patient (DME | Infusion) as needed, educates patient on home care/ Hospice orders received from the referral source and home care and/ or hospice services.
• Acceptance to ensure all patient needs identified by the referral source are documented and met by the agency.
• Works closely with the Executive Director/Clinical Director to drive a vision of growth by focusing every team member on the needs and expectations of the referral community and patients.
• Responsible for all sales administration duties including, but not limited to, BOA expense entry compliance, BOA with associated Policies and Procedures, payroll time sheets, Weekly 3LS meetings with strategic updates, PTO requests, Attends all required sales calls and company provided in services, timely cell phone and e-mail correspondence.
• Educates patient on importance of the post facility discharge follow up appointment with the physician, on obtaining all necessary prescriptions prior to discharge from the hospital and confirm patient’s understanding of medication, pharmacy, and delivery method.
• Serves as a liaison between the LHC Group agency and all involved healthcare providers of newly referred patients as well as existing patients transferred to the hospital from the home health agency.
• Communicates to discharge planning any active patients that transfer from home health into a Facility and coordinates resumption of care with patient prior to discharge if applicable orders are obtained.
• Provides follow up feedback to case management team regarding status of readmissions and any non-admit decisions based on information provided to them by the LHC agency.
• Observes patient confidentiality at all times.
• Knows the features and benefits of the services provided by LHC Group. Is able to articulate competitive advantages, specialty programs, and Medicare guidelines. Educates the medical community about the services of our organization through effective sales calls and in-services with the appropriate tools and literature.
• Any other tasks that are assigned

• Must have one year home health experience or one year of hospital case management experience.
• Must have one to three years medical marketing experience preferred

• Must have current RN or LPN or SW or PT licensure in state of practice
• Must have RT and/or technical school certification demonstrating strong clinical knowledge
• Reliable means of transportation and must have current driver's license and auto insurance

• Must have excellent verbal and written communication skills with all members of the healthcare team
• Must have excellent organizational skills and ability to complete competing priorities
• Must have thorough understanding of home health qualifying criteria and coverage guidelines
• Proficient computer skills.
• Excellent presentation, negotiation and relationship-building skills required.
• Must have strong computer skills to meet Microsoft Outlook and other software requirements.
• Must have the ability to work independently with minimal supervision and be self-motivated.