Transition Coordinator Focus Care Inc - 3.4 Fort Collins, CO Job Details Part-time $22 - $24 an hour 21 hours ago Benefits Paid time off Qualifications Bachelor's degree in social work RN License Intake Driver's License Bachelor's degree Case management LPN CNA Managing patients as a clinical case manager Full Job Description Immediate Care Manager Opportunity

RN, LVN, LPN, CNA, MA, MSW

Compensation:

Part Time with opportunity to go Full Time. Competitive Salary. Looking to fill positions in each county or combination of counties. Focus Care Inc. is looking for an experienced Care Transition Coordinator who will provide services to move eligible patients from a nursing facility and establish community-based residence. This program is a community acclimation and integration client service, promoting independent living goals, monitoring and responding to risk incidents. Coordinating community services to address functional needs in a home setting. Community transition services include the coordination activities such as assisting client paperwork for subsidized housing application, security and utility deposits, moving expenses, one-time pest eradication, one-time cleaning expenses, and essential household furnishings such as beds, linens, utensils, pots and pans, and dishes. Items for entertainment and convenience are not included

Primary Responsibilities:

• Assist in the admission process and orientation of the client to treatment
• Meet with clients throughout their stay to collaboratively determine continuing care needs, and consult with family members and referents as appropriate
• Attend weekly staffing meetings and participate as an active member of the treatment team
• Assist with the development and implementation of a treatment plan that includes continuing care recommendations
• Facilitate communication between clients and continuing care resources to ensure smooth transition to the next level of care
• Coordination of transition team
• Assessment of community needs
• Accessing community resources
• Assistance with non-Medicaid applications
• Assistance with setting up household - purchasing essential items
• In-person monitoring based on risk level
• Monitoring risk mitigation plan
• Responding to risk incidents
• Scheduling risk mitigation revision meetings
• Problem-solving community acclimation and integration challenges
• Supporting community integration opportunities
• Recommendations to CMs for service provision

About Focus Care:

Focus Care, Inc is a Boston-based, privately-owned national healthcare services company that has been in business for more than 15 years. We identify and document high risk conditions of Medicare and Medicaid members to improve health outcomes and achieve accelerated reimbursement for health plans. Our leadership team and clinical staff have demonstrated success in working with all health care programs, especially government programs (Medicaid, Medicare), risk adjustment, network development and care management. Since 2008, Focus Care has conducted thousands of health risk assessments nationally, as well as offering consulting services, contracting with several health plans. Nearly ten years ago, Focus Care transitioned its hospital nurse staffing business to a broader offering with emphasis on Medicare Advantage health risk evaluation and revenue maximization services.

Job Type:

Part-time Pay:

$22.00 - $24.00 per hour

Benefits:

Paid time off

Education:

Bachelor's (Required)

Experience:

Case management: 1 year (Required) working within the community: 1 year (Required)

License/Certification:

Driver's License (Required)

Work Location:

On the road