Transitional Case Manager na LHC Group

Explore opportunities with LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Care Transitions Coordinator (CTC), you will be responsible for executing the sales strategy to increase company market share through account development and educating the medical community on services provided by the company while operating within set budget. The CTC’s primary responsibility is to facilitate a seamless transition for patients discharging from a facility setting to the care of an of our agency for post-acute care needs. You will work directly with the facility discharge planner to verify the receipt of orders and the agency's ability to meet the needs of the patient.

Primary Responsibilities:

• Achievement of monthly Personal Production Goals and MC admit budgets for assigned locations while being a good steward of the company’s financial resources by projecting a return on monies spent and managing to a Sales and Marketing expense budget
• Successfully executes a weekly, monthly, and quarterly strategy to increase market share within facility assigned
• Following Right of Choice, evaluates patient and orders for suitability for home care
• Initiates face-to-face patient transition to educate the patient on LHC agency and identifies primary care physician to follow the plan of care
• Presents agency Executive Director with identification of patient needs to obtain branch approval and acceptance and completes CTC encounter documentation in Home Care Home Base
• On acceptance, coordinates organization of transfer orders, coordinates other ancillary services for the patient (DME | Infusion) as needed, educates patient on home care/ Hospice orders received from the referral source and home care and/ or hospice services
• Acceptance to ensure all patient needs identified by the referral source are documented and met by the agency
• Works closely with the Executive Director/Clinical Director to drive a vision of growth by focusing every team member on the needs and expectations of the referral community and patients
• Responsible for all sales administration duties including, but not limited to, BOA expense entry compliance, BOA with associated Policies and Procedures, payroll time sheets, Weekly 3LS meetings with strategic updates, PTO requests, Attends all required sales calls and company provided in services, timely cell phone and e-mail correspondence
• Educates patient on importance of the post facility discharge follow up appointment with the physician, on obtaining all necessary prescriptions prior to discharge from the hospital and confirm patient’s understanding of medication, pharmacy, and delivery method
• Serves as a liaison between the LHC Group agency and all involved healthcare providers of newly referred patients as well as existing patients transferred to the hospital from the home health agency
• Communicates to discharge planning any active patients that transfer from home health into a Facility and coordinates resumption of care with patient prior to discharge if applicable orders are obtained
• Provides follow up feedback to case management team regarding status of readmissions and any non-admit decisions based on information provided to them by the LHC agency
• Observes patient confidentiality at all times
• Knows the features and benefits of the services provided by LHC Group. Is able to articulate competitive advantages, specialty programs, and Medicare guidelines. Educates the medical community about the services of our organization through effective sales calls and in-services with the appropriate tools and literature

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications:

• Current and unrestricted RN or LPN or SW or PT licensure in state of practice
• Valid driver’s license, vehicle insurance, and reliable transportation or access to public transportation
• RT and/or technical school certification demonstrating solid clinical knowledge
• 1+ years of home health or hospital case management experience
• Thorough understanding of home health qualifying criteria and coverage guidelines
• Excellent presentation, negotiation and relationship-building skills
• Solid computer skills to meet Microsoft Outlook and other software requirements
   

Preferred Qualifications:  

• 1+ years of medical marketing experience
• Excellent verbal and written communication skills with all members of the healthcare team 
• Excellent organizational skills and ability to complete competing priorities

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.


UnitedHealth 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.


UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.