This position supports the smooth, timely, and coordinated client transition from acute care to alternative levels of care including but not limited to post-acute settings, community services, or home with post-acute service support, as directed by the care coordination team. This position performs follow-up tasks and coordinates the logistics for a patient’s discharge services identified in the inpatient discharge care plan for management of Banner patients across the healthcare continuum.CORE FUNCTIONS
1. Works to coordinate the patient’s transition into or out of a care setting and obtains appropriate services and benefits as directed by the care coordination team. This may include faxing information, entering referrals or tasking other departments or consultants, arranging authorization and transportation, arranging durable medical equipment (DME), coordinating home health care, confirming arrangements, making physician or outpatient appointments, obtaining test results, and other patient related duties as designated.2. Coordinates and manages the logistics of discharge planning for individual patients and works to coordinate the patient’s transition into or out of a care setting and obtains appropriate services and benefits as directed by the care coordination team. This may include faxing information, entering referrals or tasking other departments or consultants, arranging authorization and transportation, arranging durable medical equipment (DME), coordinating home health care, confirming arrangements, making physician or outpatient appointments, obtaining test results, and other patient related duties as designated. Keeps other members of the care team informed of barriers or challenges which might delay the patient’s discharge and works collaboratively with the care team to resolve such challenges.3. Documents all interventions in the patient medical record both timely and accurately including all elements of the discharge plan. Performs transfer of accurate, pertinent patient information between all appropriate entities of the acute and post-acute care continuum relative to the anticipated discharge/transfer of the patient.4. Works collaboratively with team members; promotes collaborative relationships with vendors, community and referral resources.5. May perform tasks such as securing community resources/information or other tasks.6. Works under general supervision. Confers with supervisor on any unusual situations. Internal customers: Post-acute services team members and all levels of nursing management and staff, medical staff, and all other members of assigned facility interdisciplinary health care team. External customers: home health agencies, nursing homes, insurance providers, group homes, assisted living facilities, hospice, long-term acute care hospitals, inpatient rehabilitation facilities, volunteer agencies, county/governmental agencies and medical supply companies and others as required.Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.MINIMUM QUALIFICATIONSHigh school diploma/GED or equivalent working knowledge.Certification for BLS is required for acute-care settings where direct patient care is provided.The position requires a proficiency level typically achieved with one year of experience in healthcare as a Nursing Asst, Medical Asst, Health Unit Coordinator, Patient Care Tech, etc. Must demonstrate effective communication and customer service skills, human relation skills and time management skills with flexibility in responding to multiple demands. Must be able to work flexible hours and work after hours/weekends on rotation.Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire.PREFERRED QUALIFICATIONSAdditional related education and/or experience preferred.EEO Statement:Our organization supports a drug-free work environment.Privacy Policy:
Professional Field
Nursing
Other Behavioral, Mental, or Healthcare FieldPatient Focus
Diagnoses
Avoidant Personality Disorder
Cancer
Issues
Aging
Age Groups
Children (5-10)
Preteens/Tweens (11-13)
Therapeutic Approach
Methodologies
ECT
Modalities
Individuals
Practice Specifics
Populations
Cancer Patients
Aviation/Transportation
Racial Justice Allied
Settings
Government
In-patient Non-Psychiatric
In-patient Psychiatric
Milieu
Nursing Home
Partial Hospitalization (PHP)
Research Facilities/Labs/Clinical Trials
Residential Treatment Facilities (RTC)
Substance Abuse Treatment Facilities
Telehealth/Telemedicine
Home Health/In-home



