The Transition Coordinator is responsible for managing referrals and coordinating admissions for the transition of patients to and from the Flower Rehab Center. This role involves medical record review and interaction with internal and external physicians, nursing, therapists, leadership, coding and clinical documentation specialists, patients, caregivers, and the community. This role actively collaborates with the FRC PPS Coordinator, Case Managers, Transition Care Managers, and Nursing and Therapy Leadership to coordinate the timely management of insurance precertification, recertification, authorizations and appeals, length of stay, and resource utilization. ACCOUNTABILITIES *All duties listed below are essential unless noted otherwise* 1. Conducts insurance verifications, precertification, and recertification as indicated. 2. Monitors and manages patient referrals. Requires extensive operational knowledge of IT referral systems including ECIN and Ensocare. Reviews referrals for clinical and payor information. Investigates and requests additional information as needed. 3. Serves as a liaison between the sending and receiving facilities to coordinate patient transitions. Collaborates with the FRC team to coordinate bed management. Manages processes to promote operational efficiency and effectiveness. 4. Effectively communicates and collaborates with all members of the care transition planning team. This team includes, but is not limited to (all roles implied internal and external) care navigators, discharge planners, social workers, physicians, therapists, nursing staff, etc. 5. Monitors and manages referral/admission/discharge data as appropriate. 6. Provides coverage to Transitional Care Manager, Case Manager, and PPS Coordinator roles with shared accountabilities as appropriate. 7. Performs other duties as assigned or requested. Education: Post High School clinical training equivalent to a certification or licensure. Skills: Strong verbal and non-verbal communication skills both at patient and healthcare professional levels. Ability to work in a team environment. Ability to input, retrieve and analyze relevant EMR data. Mid-level Microsoft Word and Excel skills. Must be able to commute between facilities with reliable transportation. Must be able to understand directions, communicate and respond to inquiries with effective interpersonal skills. Must have good organizational, analytical, writing, and interpersonal skills. Must be able to input and retrieve information from electronic devices and must be able to operate copier, electronic device(s), printer, and scanner. Years of Experience: Minimum of 2 years clinical experience in a patient care setting. Previous= experience with utilization review, marketing, care transitions, customer service, and/or inpatient rehab. License: As indicated per education obtained. Certification: CPR and as indicated per education obtained. PREFERRED QUALIFICATIONS Education: Associate Degree in a clinical field. Skills: Ability to work with a variety of internal/external customers and healthcare providers effectively and diplomatically. Years of Experience: 3-5 years clinical experience in a patient care setting. License: As indicated per education obtained. Certification: As indicated per education obtained. WORKING CONDITIONS Personal Protective Equipment: N/A Physical Demands: Must be able to move about hospital, FRC, between workstations and facilities. The above list of accountabilities is intended to describe the general nature and level of work performed by the positions; it should not be considered exhaustive. Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or other status protected by applicable law. Equal Opportunity Employer/Drug-Free Workplace **Requisition ID:** 90364