Transitions of Care Coordinator (TOC) Care Coordinator, Clinician

The Transitions of Care (TOC) Care Coordinator, Clinician is responsible for completing face-to-face and telephonic TOC assessments with members prior to discharge from the hospital. They work in collaboration with clinical operations staff, primary care providers, and community resources to ensure a smooth transition of care.

What You Will Do

The TOC Care Coordinator, Clinician will complete face-to-face and telephonic TOC assessments, coordinate with hospital case managers and floor nurses, and perform activities supporting applicable CMS and NCQA/HEDIS measures. They will also assist members with scheduling post-discharge appointments, transportation, and DME needs.

Why It Might Be a Fit

This role requires strong interpersonal and facilitation skills, with the ability to communicate with all levels of the organization. The ideal candidate will have experience with performing post-inpatient transition of care activities, knowledge of local resources and providers, and a strong commitment to customer and quality-focused service.

Requirements

• Associate’s degree in health care administration, Nursing, Social Work, Long Term Services and Supports, Public Health, Behavioral Health, or related field
• Licensed RN, LPN, LSW, LMHC, or LCSW in the State of Hawaii
• Minimum of 1 year of related work experience in a clinical setting and/or in a managed care environment, behavioral health case management, health plan experience, or other related work experience
• Experience with performing post-inpatient transition of care activities
• Ability to network with other providers for successful transition from inpatient to community-based services
• Prior experience in clinical assessments, discharge planning, and utilization management
• Ability to work with varied teams/professionals for inter-disciplinary case consultation and discharge planning
• Knowledge of local resources, providers, and referral processes
• Support AlohaCare’s corporate core values in all interactions
• Achieves results, builds trust, communicate effectively, customer and quality focused
• Strong interpersonal and facilitation skills with the ability to communicate with all levels of the organization
• Strong, effective, and precise written and oral communication skills
• Professional telephonic etiquette skills
• Ability to solve problems, analyze, think critically, and make good judgments
• Strong customer service skills and be able to work in a diverse, demanding and evolving environment with strong conflict and problem resolution skills
• Able to work independently with minimal supervision
• Able to effectively work in a fast-paced and changing environment, manage multiple projects and priorities across multiple teams/projects and in a matrixed environment
• Possesses excellent time management and organizational skills
• Intermediate skills in Microsoft Programs: Word, Excel or Access Databases, Outlook and PowerPoint
• Experience in the operation of general office equipment to include PC, fax/copy machine and phone system
• Possession of a valid driver's license with access to a reliable automobile
• TB Clearance
• First Aid and CPR Certification

Benefits

• Low-cost medical, dental, drug and vision insurance
• Paid time-off
• 401k employer contribution
• Referral bonus
• Pretax transportation and parking program