**There’s home care and then there’s BayCare HomeCare!** At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. BayCare is currently in search of our newest **Care Transition Coordinator, RN** with BayCare HomeCare Pharmacy who is passionate about providing outstanding customer service to our home care community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. **Position details:** + **Location:** Largo, FL + **Status:** Full time, 40 hours per week + **Schedule:** Monday - Friday 8:00 AM - 5:00 PM OR 9:30 AM - 6:30 PM + **Weekend Requirement:** Occasional + **On Call:** no When you become a BayCare Nurse, we support your personal and professional growth by offering a range of benefits, educational opportunities and a healthy work-life balance: + Benefits (Health, Dental, Vision) + Paid time off + Tuition reimbursement + 401k match and additional yearly contribution + Yearly performance appraisals and leadership award + Community discounts and more + Relocation assistance if eligible + **AND the Chance to be part of an amazing team and a great place to work!** **The Care Transition Coordinator, RN is responsible for transitions of care from acute and subacute setting to home with home health care.** + Provide education of homecare services to community groups and physicians. + Collaborate with business development team in gaining and maintaining market share through referral intake process. + Collaborate with referral sources in transitions of care. + Timely communication with all referrals sources telephonically as well as through electronic platforms. + Provide clear concise referral provided to homecare division meeting all regulatory, payer, and safety requirements. + Completion of preadmission assessment and education to patient and caregiver of homecare services. + Coordination of Homecare and Pharmacy as well as communication with referral sources and physicians. + Responsible for knowledge of Medicare and Managed Care regulations and requirements. + Timely response to referrals sources, providers, and leadership is essential. + Responsible for documenting face to face encounter, verifying POC and following Physicians which is a condition of payment. + Oversight of Care Coordination Assistant team. + Identifies patients appropriate for disease management programs and telehealth. + Performs ICD-10 coding of referrals. + Identifies potential MSP scenarios. + Responsible for leading MDI huddles on rotation basis. + Monitors and communicates referral source activity acting as one point of contact for referral sources, home health, and infusion. + Will be responsible for additional transitions of care duties as assigned. **Requirements:** + Active/Clear Florida RN license is required. + Required Associate's Nursing or Diploma Nursing + CCMC Certification preferred + Preferred Bachelor's Nursing + Preferred 3 years Nursing + Preferred 1 year Home Care Equal Opportunity Employer Veterans/Disabled **Position** Care Transition Coordinator RN **Location** Largo | Clinical | Full Time **Req ID** null