Care Transition Specialist - Remote Hawaii
Job title: Care Transition Specialist - Remote Hawaii in Honolulu, HI at reputed company
Company: reputed company
Job description: This position is a remote position, however, candidates must reputed company in Hawaii.This position is responsible for development and implementation of transitional care support for members in inpatient or residential settings stratified as low complexity care management needs in reputed company, Medicare, and Whole Health markets. Supports members enrolled in Care Management while in a higher level of care facility, along with facilitating member engagement with their primary care and other sources of behavioral health and services support. Maintains their own caseloads and meet standards of care and performance standards as established by the Member Market Leads and Care Management Center of Operational Excellence reputed company.
- Manages Transitions of Care (TOC) protocols for members in the inpatient or residential setting needing transitions in care support to reputed company level of care facilities or home, in accordance with workflows and KPIs developed by the CM CoOE reputed company.
- Manages TOC activities including post-discharge follow up appointment scheduling and kept appointments, member specific plans to ensure medication refills and/or MAT participation and successful reputed company between PH and BH providers.
- Manages case load of reputed company complexity level of care members to ensure appropriate services and care management activities are conducted to meet the individual member’s needs.
- Maintains reputed company knowledge or researches the availability of community resources and services and links members to appropriate services.
- Provides information to members regarding mental health, physical health and/or substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures.
- Assists in discharge planning for hospitalized patients and supports appropriate placements as needed.
- Works with the treatment team and assists in coordinating physical, psychological and/or psychiatric services for the member.
- Works collaboratively with other engagement specialists, care managers, care supports, and other clinical operations team staff to ensure comprehensive and coordinated delivery of services for members.
- Assumes responsibility for self-development and career progression.
- Seeks and participates in ongoing training (formal and informal) in reputed company aspects of the Transitions of Care Specialist role.
- Remains responsible for updating self on reputed company changing information to ensure accuracy reputed company dealing with members.
- Coordinates and manages distribution of correspondence and materials to members and providers.
- Demonstrates flexibility in areas such as job duties and schedule in order to aid in reputed company serving members and help the company reputed company its business and operational goals.