Talent.com
Transitional Care Manager
Transitional Care ManagerLHC Group • San Antonio, TX, United States
serp_jobs.error_messages.no_longer_accepting
Transitional Care Manager

Transitional Care Manager

LHC Group • San Antonio, TX, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Summary

  • Must be an RN with current license
  • Westover Hills Hospital
  • 70-80K depending on experience

Manage and lead the Transitional Care Program . Lead the team to ensure coordinated care for patients with complex care needs. Assist with transition from acute care to home or intermediate care. Work with patients to implement discharge instructions, reduce readmission, reconcile medications, and assist the patient to initiate the next level of care by coaching self-management of disease process. Improve the discharge process and improve patient satisfaction with discharge.

Responsibilities

  • Interviews and hires new staff members.
  • Perform 90 day and annual employee evaluations.
  • Performs all payroll duties and functions including approving PTO and scheduling of all staff.
  • Makes staff assignments as required.
  • Identifies and visits patients who have frequent readmissions while in hospital setting.
  • Review all readmissions to the hospital daily, determine cause and identify breakdowns, input data into MIDAS.
  • Develop weekly readmission report and discuss all unplanned related readmissions with Multidisciplinary Team and CM Director.
  • Identify target diagnoses' to work toward reducing preventable readmissions.
  • Maintain tracking of data to support the success of the program including : Inpatient Hospital Readmission, Rehab Readmissions, Transitional Care Program Data, Remote Patient Monitoring Data, Mileage, Emergency Room and Direct Admit Data.
  • Attend Multidisciplinary Rounds daily to identify patients at high risk of readmission.
  • Referrals to outside sources to assist in the success of the discharge plan.
  • Maintain Bi-Monthly meetings with CHRISTUS Health- Health Informatics regarding RPM process.
  • Oversee all daily functions of Remote Patient Monitoring.
  • Supervises the maintenance and accuracy of patient care and records.
  • Performs chart audits on all patients enrolled into the program.
  • Leads Bi-Monthly staff conferences and mandatory in-services.
  • Implements and supervises all patient care activities to ensure the delivery of safe, economical, and efficient patient care.
  • Oversee Long-Term Care TC Nurse and develop process for patient enrollment and program structure.
  • Education and Experience

    QUALIFICATIONS :

  • Preferred graduate of accredited ADN or BSN program
  • Preferred 2-3 years Medical / Surgical experience as a RN or ICU / ER experience.
  • Preferred experience in the field of Care Transitions.
  • Must maintain a TX compact license and provide verification.
  • SKILL REQUIREMENTS :

  • Must have computer proficiency for documentation and tracking data.
  • Must have the ability to communicate effectively, both verbally and in writing.
  • Must have the ability to manage several projects and cases simultaneously.
  • Must have knowledge of community resources and cultural competence.
  • Must have organizational skills.
  • Must have knowledge of the under insured, or uninsured populations within the service area.
  • Must have the ability to educate & coach clients on a level beneficial to the client's needs.
  • Company Overview LHC Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    At LHC Group we are proud to offer benefits that support your physical and emotional wellbeing. Review LHC Group's comprehensive benefits and perks : https : / / bit.ly / LHCGBenefits

    CHRISTUS VNA Hospice and Palliative Care San Antonio a part of LHC Group family of providers - the preferred post-acute care partner for hospitals, physicians, and families nationwide. We deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare. More hospitals, physicians, and families choose LHC Group because we are united by a single shared purpose : It's all about helping people.

    serp_jobs.job_alerts.create_a_job

    Transitional Manager • San Antonio, TX, United States

    Job_description.internal_linking.related_jobs
    Phone Queue Care Manager, LTSS (RN) - Must Reside in Texas

    Phone Queue Care Manager, LTSS (RN) - Must Reside in Texas

    Molina Healthcare • San Antonio, TX, United States
    serp_jobs.job_card.full_time
    Opportunity for a Texas licensed RN to support our Medicaid Members telephonically as part of the Member Outreach Team.Three days a week the members of this team utilize an auto-dialer system to ma...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Nurse RN - Progressive Care Unit - $1,439 per week in Plano, TX

    Travel Nurse RN - Progressive Care Unit - $1,439 per week in Plano, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Atlas MedStaff to find a qualified PCU RN in Plano, Texas, 75075!.Atlas Medstaff is currently seeking candidates in the RN (PCU / IMC / Stepdown) profession for a 13 w...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $1,671 per week in Plano, TX

    Travel Nurse RN - Progressive Care Unit - $1,671 per week in Plano, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Prime Staffing to find a qualified PCU RN in Plano, Texas, 75075!.Minimum 2 years of recent PCU or step-down experience required. Active NC or Compact RN License.BL...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    LTSS Service Care Manager

    LTSS Service Care Manager

    Centene Corporation • San Antonio, TX, United States
    serp_jobs.job_card.full_time +1
    You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll ha...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Patient Care Services Manager (SAN ANTONIO)

    Patient Care Services Manager (SAN ANTONIO)

    University Health • San Antonio, Texas, United States
    serp_jobs.job_card.full_time
    Remember to check your CV before applying Also, ensure you read through all the requirements related to this role.POSITION SUMMARY / RESPONSIBILITIES. Perform expert leadership skills in the managemen...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $2,019 per week in North Richland Hills, TX

    Travel Nurse RN - Progressive Care Unit - $2,019 per week in North Richland Hills, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Infojini Healthcare to find a qualified PCU RN in North Richland Hills, Texas, 76180!.At Infojini Healthcare, We tell it like it is. Infojini Healthcare is one of t...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $1,535 per week in Plano, TX

    Travel Nurse RN - Progressive Care Unit - $1,535 per week in Plano, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with AHS Staffing to find a qualified PCU RN in Plano, Texas, 75075!.AHS Staffing is looking for a PCU - Step Down Registered Nurse in Plano, TX for a Long Term (Travel...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $1,406 to $1,606 per week in San Marcos, TX

    Travel Nurse RN - Progressive Care Unit - $1,406 to $1,606 per week in San Marcos, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Ventura MedStaff to find a qualified PCU RN in San Marcos, Texas, 78666!.Are you ready to take your Travel career to the next level? See places you have not seen ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Intermediate Care - $1,754 per week in San Marcos, TX

    Travel Nurse RN - Intermediate Care - $1,754 per week in San Marcos, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Care Career to find a qualified IMC RN in San Marcos, Texas, 78666!.The IMC RN is responsible for managing the care of the young adult, adult or elderly patient ex...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $1,535 per week in Fort Worth, TX

    Travel Nurse RN - Progressive Care Unit - $1,535 per week in Fort Worth, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Mindlance Health to find a qualified PCU RN in Fort Worth, Texas, 76101!.ID : 74078100 Shift : 19 : 00-07 : 00 Description : Description : General Comments No.Guaranteed H...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Intermediate Care - $1,768 per week in San Marcos, TX

    Travel Nurse RN - Intermediate Care - $1,768 per week in San Marcos, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Care Career to find a qualified IMC RN in San Marcos, Texas, 78666!.The IMC RN is responsible for managing the care of the young adult, adult or elderly patient ex...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Intermediate Care in Austin, TX

    Travel Nurse RN - Intermediate Care in Austin, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Malone Healthcare to find a qualified IMC RN in Austin, Texas, 73301!.BACKFILL - CONTRACT - RN - IMC / PCU (638) - 13 WEEKS - 7 : 00P-7 : 00A job in Austin, TX.At Malone...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit in Fort Worth, TX

    Travel Nurse RN - Progressive Care Unit in Fort Worth, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Malone Healthcare to find a qualified PCU RN in Fort Worth, Texas, 76101!.TRAVEL - RN - PCU (630) / MC Alliance / 7 : 00PM - 7 : 00AM job in Fort Worth, TX.At Malone He...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $1,523 per week in Longview, TX

    Travel Nurse RN - Progressive Care Unit - $1,523 per week in Longview, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Gifted Healthcare to find a qualified PCU RN in Longview, Texas, 75601!.The Gifted Healthcare Experience . Gifted Healthcare is an award-winning travel nursing agen...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $1,334 per week in Plano, TX

    Travel Nurse RN - Progressive Care Unit - $1,334 per week in Plano, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with GetMed Staffing to find a qualified PCU RN in Plano, Texas, 75075!.GetMed Staffing is searching for a strong PCU RN to assist our traveler-friendly client.A minimu...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Product Manager, Care Delivery

    Senior Product Manager, Care Delivery

    Wider Circle • San Antonio, TX, US
    serp_jobs.job_card.full_time
    Senior Product Manager, Care Delivery.Wider Circle brings together people, technology, and community to close gaps in care and improve outcomes for seniors and complex populations.Our mission is to...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Nurse RN - Intermediate Care - $1,768 per week in Marshall, TX

    Travel Nurse RN - Intermediate Care - $1,768 per week in Marshall, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Care Career to find a qualified IMC RN in Marshall, Texas, 75670!.The IMC RN is responsible for managing the care of the young adult, adult or elderly patient expe...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Progressive Care Unit - $1,439 per week in Dallas, TX

    Travel Nurse RN - Progressive Care Unit - $1,439 per week in Dallas, TX

    TravelNurseSource • San Antonio, Texas, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Atlas MedStaff to find a qualified PCU RN in Dallas, Texas, 75243!.Atlas Medstaff is currently seeking candidates in the RN (PCU / IMC / Stepdown) profession for a 13 ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted