LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people.
The primary responsibility of the LTAC Clinical Transition Coordinator (CTC) is to facilitate a seamless transition for patients discharging from a facility setting to the care of an LHC Group agency|facility for post-acute care needs. The LTAC CTC will respond to referrals and determine the level of care required by the patient upon initial evaluation. Following identification of new LTAC patient criteria, the LTAC CTC will complete a full risk-assessment of the patient, including a cost indicator using the net reimbursement worksheet. In addition, the LTAC CTC will implement re-hospitalization reduction initiatives for patients with Acute Care Hospitalization risk and continually communicate between healthcare providers during all phases of transition from the facility to the next level of care. The LTAC CTC establishes best practice intervention and education to improve patient outcomes and promote patient self-management upon discharge from the LTAC to the next level of care. The LTAC CTC role is clinically focused and aligned with company market development initiatives. This clinical liaison understands their role in growth, serving more patients and delivering exceptional care across the entire post-acute care continuum. Using discretion and independent judgement, the LTAC CTC identifies specific referral target audiences and develops referral-building strategies in collaboration with the Administrator. The LTAC CTC will interact with all departments and services as needed to complete the referral|evaluation process and address barriers to admission by working effectively with referral sources and the Admissions Team.
Formal Education: Associate Degree or certification equivalent
Experience: 1 year
License, Registration, and / or Certification Requirement: Yes
Experience Requirements
License Requirements
Skill Requirements
Skill Desired