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.