Transitional Case Manager-Home Health

Transitional Case Manager

Explore opportunities with Elite Home Health a part of 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 Transitional Case Manager (TCM), you will be facilitating seamless transitions for patients from facility settings to post-acute care. You will verify home health orders, assess care requirements, and ensure continuity of care. Your role includes assessing patients' health literacy, involving patients and families in care planning, and providing education to improve outcomes and promote self-management. You will implement rehospitalization reduction initiatives for patients at risk and communicate with healthcare providers throughout the transition. RN or LPN Required

Primary Responsibilities:

• Educate patients on post-discharge follow-up, homebound criteria, and obtaining prescriptions
• Assess readmission risk using the LACE tool
• Ensure patients and families have agency contact information
• Coordinate ancillary services (DME, Infusion) as needed
• Assist in preparing for patient care post-discharge
• Liaise between the agency and healthcare providers
• Communicate patient transfers and coordinate resumption of care
• Provide feedback on readmissions and non-admit decisions
• Perform other duties as assigned

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, unrestricted RN, LPN, or SW licensure in state of practice.
• Current CPR certification
• Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation.
• Minimum 1 year home health experience or 1 year of hospital case management experience.

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). The salary for this role will range from $53,064 to $79,596 annually based on full-time employment. We comply with all minimum wage laws as applicable.