Transition of Care Specialist - Care… at UAB Medicine · Birmingham

Transition of Care Specialist - Care Management - AM

Position Overview

Pay range: $17.10 - $27.80 / hour

Benefits and perks available for eligible positions include: robust educational assistance programs, generous paid time off, employee assistance and wellness programs, paid parental leave, qualifying employer for the Public Service Loan Forgiveness (PSLF) Program, plus more.

Job Description

Ensuring seamless patient care and efficient administrative operations. To support case managers and healthcare professionals by performing a variety of tasks that range from administrative duties to patient interactions. To facilitate and coordinate a safe and appropriate discharge plan while meeting the patient's individual needs as well as state and federal regulations. To work collaboratively with multiple other disciplines throughout the organization and community. To manage patient records and coordinate followup care. To enhance the patient experience and optimizing the overall healthcare delivery process.

1.Assist RNCC (RN-CM), SW-CM, and SWs in assessing, coordinating care, and developing and implementing discharge plans based on patient needs.
2. Documents planning and interventions appropriately and timely.
3. Communicates appropriate information between physicians, nursing units, administration and other disciplines to facilitate care transitions to ensure proper patient flow through the hospital system.
4. Identifies any barriers and provides clarity to determine realistic goals for the discharge plan.
5. Coordinate with patients and providers to arrange or facilitate follow up appointments (service based/specialty services), such as PCP for DME needs, and other post-discharge care needs.
6. Maintain accurate and updated patient notes and referrals/packets in Careport or to contacts outside of Careport.
7. Provide administrative support such as data entry, filing, document preparation, and patient signatures.
8. Monitor patient progress and report updates to the RNCC (RN-CM), SW-CM, or SW.
9. Assist licensed staff with facility discharges as needed by updating/modifying plans upon reevaluation and as delegated by licensed staff.
10. Help patients complete necessary paperwork and applications for services.
11. Communicate and coordinate post-discharge needs with community organizations and agencies for resource referrals.
12. Facilitate follow-ups and check-ins with patients and other disciplines to ensure service and patient satisfaction.
13. Performs other duties as assigned.

Qualifications

Bachelor's degree in social work, psychology, sociology, or other healthcare related field. No experience required, 1-2 years’ preferred experience in healthcare setting (familiarity with healthcare or social service systems), such as in administrative or support role; Knowledge of community resources and health services preferred.

Why Work at UAB Medicine

We are UAB Medicine, Alabama’s largest and most comprehensive health system, recognized nationally for delivering world-class patient care, pioneering research, and cutting-edge medical education. We proudly serve more than 1.2 million patients each year – from every county in Alabama, all 50 states, and many countries around the world. Our network spans numerous hospitals, emergency departments, many other sites of care, and a team of over 2,000 physicians. Our key facilities include UAB Hospital – ranked the No. 1 hospital in Alabama by U.S. News & World Report and home to the state’s first ACS-verified Level I adult trauma center and only Magnet-designated hospital – along with UAB Hospital-Callahan Eye and five UAB St. Vincent’s hospitals serving central Alabama.

UAB Medicine offers careers across a wide range of practice environments, from our internationally renowned academic medical center and award-winning community hospitals to our primary and specialty care clinics across the state. Whether you’re seeking the fast-paced learning environment of a tertiary care setting or the close-knit environment of a community facility, there’s a place for you on our team where you can become part of a mission-driven organization committed to delivering life-changing care. With nearly every medical specialty represented and unlimited opportunities for growth, you’ll find the right fit for your skills and career goals. We care for you by offering comprehensive, industry-leading benefit packages to support the individual preferences and circumstances of our diverse staff.