RN Care Transition Coordinator

RN Care Transition Coordinator

Under the direction of the Director of Care Management, the RN Care Transition Coordinator (CTC) is accountable for identifying, stratifying, and addressing the needs of high-risk populations encountered during inpatient hospitalization. The RN CTC will be responsible for establishing and managing populations of high-risk and other assigned populations at Maricopa Medical Center (MMC) in a manner that aligns with the regulations of the Center for Medicare and Medicaid Services (CMS) and the Arizona Health Care Cost Containment System (AHCCCS). This position is responsible for anticipating, monitoring, and intervening as indicated to address population and individual health needs across the continuum of health care in order to improve quality and maintain standards set by CMS and State Medicaid Programs. The RN CTC will assist patients in all areas related to transitioning from an inpatient stay to a post-acute setting, including the home, home healthcare, post-acute facility, or other setting. The RN CTC is responsible for ensuring effective patient education and is a resource for answering patient questions. The RN CTC will also schedule and track follow-up appointments and work with patients to ensure psychosocial management and support following discharge.

Annual Salary Range : $76,835.20 - $113,339.20

Qualifications

Education :

• Requires bachelor’s degree in nursing.

Experience :

Certification / Licensure :

Knowledge, Skills, and Abilities :

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