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Transition Care Coordinator-MLTSS: 145991BR

Company: Sentara Norfolk General Hospital
Location: Virginia Beach
Posted on: June 12, 2021

Job Description:





Award-winning: Sentara Healthcare is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than of care including 12 hospitals, long term care, assisting living, PACE, home health, hospice, medical transport, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara Employer of Choice for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!





Overview

Sentara Health Plan is seeking a Transition Care Coordinator for the MLTSS Dept. BSN Required

Full/Time-Days

The Transition of Care Coordinator is responsible for managing and supporting all transitional care and post-acute services in a defined geographic region. Care transitions include individuals transitioning from Nursing Facilities, hospitals, inpatient rehabilitation, or other institutional settings into the community, and individuals who desire to remain in their community setting. The Transition of Care Coordinator works closely with the Care Coordinator and the Interdisciplinary Care Team (ICT) to facilitate safe and effective workflow and processes, and plan, coordinate, monitor and evaluate options to meet the individuals needs. Will develop and oversee the transition plan insuring a smooth handoff to the Care Coordination Manager upon completion of the transition process.


Responsibilities

The Transition of Care Coordinator is responsible for managing and supporting all transitional care and post-acute services in a defined geographic region. Care transitions include individuals transitioning from Nursing Facilities, hospitals, inpatient rehabilitation, or other institutional settings into the community, and individuals who desire to remain in their community setting. The Transition of Care Coordinator works closely with the Care Coordinator and the Interdisciplinary Care Team (ICT) to facilitate safe and effective workflow and processes, and plan, coordinate, monitor and evaluate options to meet the individuals needs. Will develop and oversee the transition plan insuring a smooth handoff to the Care Coordination Manager upon completion of the transition process.


Qualifications

Education Level
RN-Bachelors Level Degree OR
RN-Bachelors Level Degree NURSING

Experience
Required: Nursing 3 years

Preferred: None, unless noted in the Other section below

License
Required: Registered Nurse

Preferred: Basic Life Support

Skills
Required:

Preferred: None, unless noted in the Other section below

Other
BLS (if in a clinical setting).For Integrated Care Management departments, specialty certification required within one year of eligibility (ACM, CCM, CCCTM or RN-BC). For other service lines, certification based on specialty area required within one year of eligibility. 3 years Case Management experience preferred.For those in Behavioral Health Certification in de-escalation training within 15 days of hire andannually.PACE specific incumbents for this position require a minimum of one year of experience working with the frail or elderly population.All RNs hired after December 31, 2021 without a BSN will be required to sign a BSN agreement committing to enroll in an accredited RN to BSN program within 24 months of hire and successfully obtain their BSN within 5 years of hire.






Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.



Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
In support of our mission to improve health every day, this is a tobacco-free environment.



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Keywords: Sentara Norfolk General Hospital, Virginia Beach , Transition Care Coordinator-MLTSS: 145991BR, Other , Virginia Beach, Virginia

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