care transition coordinator

Ascension at Home

<div>
 <strong>
  Company
  <br/>
  <br/>
 </strong>
 Ascension at Home together with Compassus
 <br/>
 <br/>
 <strong>
  Position Summary
  <br/>
  <br/>
 </strong>
 <strong>
  Registered Nurse required for this role.
  <br/>
  <br/>
 </strong>
 The Home Health Care Transition Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Care Transition Coordinator serves as a trusted resource for the physician and hospital case managers and communicates with referral sources. S/he conducts skilled conversations with physicians, patients, families, and healthcare providers. S/he maintains an understanding of hospital and post-acute healthcare systems. The Home Health Care Transition Coordinator navigates getting patients into the right care at the right time.
 <br/>
 <br/>
 <strong>
  Position Specific Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Meets regularly with physicians in the hospital to discuss specific patients: gives guidance and provides an understanding of post-acute service support; ensures continuity of care as a priority.
  </li>
  <li>
   Acts as hospital case managers (rounding or interactions in step with the hospital): high-risk patient reviews.
  </li>
  <li>
   Supports transition to home health, home infusion, and hospice services by conducting in-person bedside transitions; where services are offered.
  </li>
  <li>
   Educates on hospice, home infusion, and home health benefits to patient families and referral sources.
  </li>
  <li>
   Develops genuine collegial relationships with other Ascension professionals and identifies times to meet regularly with clinicians to problem solve and review cases.
  </li>
  <li>
   Understands how to interact with difficult patients/families.
  </li>
  <li>
   Identifies steps to having a successful family meeting.
  </li>
  <li>
   Develops communication skills to support patients/families with difficult discussions or differing points of view.
  </li>
  <li>
   Maintains a current list of admission coordinators for each healthcare service line.
  </li>
  <li>
   Aligns recommendations between patient/family and Primary care team:
  </li>
  <ul>
   <li>
    Identifies patient preferences/needs.
   </li>
   <li>
    Identifies patient&rsquo;s post-acute care needs.
   </li>
   <li>
    Confirms the level of care most appropriate for the patient - right care, right time.
   </li>
   <li>
    Educates patient on Homebound criteria and verifies patient meets this requirement.
   </li>
   <li>
    Facilitates 'transition to home' planning including assessing post-discharge needs and developing and implementing a transition to the home plan.
   </li>
  </ul>
  <li>
   Sets patient-centered goals and facilitates transitions:
  </li>
  <ul>
   <li>
    Understands how to identify patient/family-specific treatment goals.
   </li>
  </ul>
  <li>
   Arranges for home admission &ndash; communication with the Home Health and Home Infusion team(s).
  </li>
  <li>
   Coordinates patient care by obtaining H&amp;P, physician orders, hospital records, and face-to-face documentation promptly.
  </li>
  <li>
   Verifies patient demographic information is correct.
  </li>
  <li>
   Coordinates organization of transfer orders; educates patients on home care orders and home care services.
  </li>
  <li>
   Identifies primary care physician to follow the plan of care.
  </li>
  <li>
   Conducts follow-up on re-hospitalized home health patients.
  </li>
  <li>
   Participates in home health re-hospitalization mitigation strategies &ndash; be a member of the strategy team.
  </li>
  <li>
   Develops ability to understand and digest claims data, and use of predictive analytics.
  </li>
  <li>
   Ensures excellent customer service to maintain and grow the business in the identified key accounts.
  </li>
  <li>
   Consistently works to improve personal knowledge and sales skills to become of greater value to our most important customers and the company.
  </li>
  <li>
   Meets or exceeds assigned quotas, thereby maintaining and constantly improving the HH's competitive position.
  </li>
  <li>
   Performs other duties as assigned.
   <br/>
  </li>
 </ul>
 <strong>
  Education And/or Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree preferred.
  </li>
  <li>
   Two (2) to three (3) years of nursing experience as an RN required.
  </li>
  <li>
   Hospital and/or long-term care clinical experience highly preferred.
  </li>
  <li>
   Experience with home health eligibility admission requirements, COPs, PDGM knowledge and training, risk scoring/data analysis, introduction to end-of-life practices/spiritual history, homebound status determination, palliative care, General Dx and LCDs, and estimating and communicating prognosis/disease trajectory preferred.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Skills
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
  </li>
  <li>
   Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
  </li>
  <li>
   Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Certifications, Licenses, and Registrations
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Active and unencumbered Registered Nurse license in the state(s) of employment strongly required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Physical Demands and Work Environment:
 </strong>
 The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.
 <br/>
 <br/>
 At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
 <br/>
 <br/>
 <strong>
  Build a Rewarding Career with Compassus
  <br/>
  <br/>
 </strong>
 At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.
 <br/>
 <br/>
 <strong>
  Your Career Journey Matters
  <br/>
  <br/>
 </strong>
 We&rsquo;re dedicated to helping you grow and succeed. Whether you&rsquo;re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.
 <br/>
 <br/>
 <strong>
  The Compassus Advantage
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
  </li>
  <li>
   Career Development: Access leadership pathways, mentorship, and personalized professional development.
  </li>
  <li>
   Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
  </li>
  <li>
   Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
  </li>
  <li>
   Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
  </li>
  <li>
   A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Ready to Join?
  <br/>
  <br/>
 </strong>
 At Compassus, your career is more than a job&mdash;it&rsquo;s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.
 <br/>
 <br/>
</div>


Home Health Care Transition Coordinator

<div>
 <strong>
  Company
  <br/>
  <br/>
 </strong>
 Ascension at Home together with Compassus
 <br/>
 <br/>
 <strong>
  Position Summary
  <br/>
  <br/>
 </strong>
 <strong>
  This is a float RN role. Role will float to Ascension hospitals but support primarily Seaton Main. Registered Nurse required.
  <br/>
  <br/>
 </strong>
 The Home Health Care Transition Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Care Transition Coordinator serves as a trusted resource for the physician and hospital case managers and communicates with referral sources. S/he conducts skilled conversations with physicians, patients, families, and healthcare providers. S/he maintains an understanding of hospital and post-acute healthcare systems. The Home Health Care Transition Coordinator navigates getting patients into the right care at the right time.
 <br/>
 <br/>
 <strong>
  Position Specific Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Meets regularly with physicians in the hospital to discuss specific patients: gives guidance and provides an understanding of post-acute service support; ensures continuity of care as a priority.
  </li>
  <li>
   Acts as hospital case managers (rounding or interactions in step with the hospital): high-risk patient reviews.
  </li>
  <li>
   Supports transition to home health, home infusion, and hospice services by conducting in-person bedside transitions; where services are offered.
  </li>
  <li>
   Educates on hospice, home infusion, and home health benefits to patient families and referral sources.
  </li>
  <li>
   Develops genuine collegial relationships with other Ascension professionals and identifies times to meet regularly with clinicians to problem solve and review cases.
  </li>
  <li>
   Understands how to interact with difficult patients/families.
  </li>
  <li>
   Identifies steps to having a successful family meeting.
  </li>
  <li>
   Develops communication skills to support patients/families with difficult discussions or differing points of view.
  </li>
  <li>
   Maintains a current list of admission coordinators for each healthcare service line.
  </li>
  <li>
   Aligns recommendations between patient/family and Primary care team:
  </li>
  <ul>
   <li>
    Identifies patient preferences/needs.
   </li>
   <li>
    Identifies patient&rsquo;s post-acute care needs.
   </li>
   <li>
    Confirms the level of care most appropriate for the patient - right care, right time.
   </li>
   <li>
    Educates patient on Homebound criteria and verifies patient meets this requirement.
   </li>
   <li>
    Facilitates 'transition to home' planning including assessing post-discharge needs and developing and implementing a transition to the home plan.
   </li>
  </ul>
  <li>
   Sets patient-centered goals and facilitates transitions:
  </li>
  <ul>
   <li>
    Understands how to identify patient/family-specific treatment goals.
   </li>
  </ul>
  <li>
   Arranges for home admission &ndash; communication with the Home Health and Home Infusion team(s).
  </li>
  <li>
   Coordinates patient care by obtaining H&amp;P, physician orders, hospital records, and face-to-face documentation promptly.
  </li>
  <li>
   Verifies patient demographic information is correct.
  </li>
  <li>
   Coordinates organization of transfer orders; educates patients on home care orders and home care services.
  </li>
  <li>
   Identifies primary care physician to follow the plan of care.
  </li>
  <li>
   Conducts follow-up on re-hospitalized home health patients.
  </li>
  <li>
   Participates in home health re-hospitalization mitigation strategies &ndash; be a member of the strategy team.
  </li>
  <li>
   Develops ability to understand and digest claims data, and use of predictive analytics.
  </li>
  <li>
   Ensures excellent customer service to maintain and grow the business in the identified key accounts.
  </li>
  <li>
   Consistently works to improve personal knowledge and sales skills to become of greater value to our most important customers and the company.
  </li>
  <li>
   Meets or exceeds assigned quotas, thereby maintaining and constantly improving the HH's competitive position.
  </li>
  <li>
   Performs other duties as assigned.
   <br/>
  </li>
 </ul>
 <strong>
  Education And/or Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree preferred.
  </li>
  <li>
   Two (2) to three (3) years of nursing experience as an RN required.
  </li>
  <li>
   Hospital and/or long-term care clinical experience highly preferred.
  </li>
  <li>
   Experience with home health eligibility admission requirements, COPs, PDGM knowledge and training, risk scoring/data analysis, introduction to end-of-life practices/spiritual history, homebound status determination, palliative care, General Dx and LCDs, and estimating and communicating prognosis/disease trajectory preferred.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Skills
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
  </li>
  <li>
   Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
  </li>
  <li>
   Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Certifications, Licenses, and Registrations
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Active and unencumbered Registered Nurse license in the state(s) of employment required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Physical Demands and Work Environment:
 </strong>
 The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.
 <br/>
 <br/>
 At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
 <br/>
 <br/>
 <strong>
  Build a Rewarding Career with Compassus
  <br/>
  <br/>
 </strong>
 At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.
 <br/>
 <br/>
 <strong>
  Your Career Journey Matters
  <br/>
  <br/>
 </strong>
 We&rsquo;re dedicated to helping you grow and succeed. Whether you&rsquo;re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.
 <br/>
 <br/>
 <strong>
  The Compassus Advantage
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
  </li>
  <li>
   Career Development: Access leadership pathways, mentorship, and personalized professional development.
  </li>
  <li>
   Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
  </li>
  <li>
   Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
  </li>
  <li>
   Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
  </li>
  <li>
   A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Ready to Join?
  <br/>
  <br/>
 </strong>
 At Compassus, your career is more than a job&mdash;it&rsquo;s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.
 <br/>
 <br/>
</div>


Home Health Care Transition Coordinator - RN Required

Community Partners NH

<b>Who we are:</b><br>
Community Partners is dedicated to providing quality developmental and mental health services to meet the needs of families and individuals in Strafford County. From comprehensive mental health care, to individualized services for persons with developmental disabilities, to family education and support services, we are here to help. If this resonates with you and sounds like something you’d like to be a part of, we want to hear from you!
<br><br>
<b>The Role:</b><br>
The Transition Coordinator is responsible for assisting students and families of transition ages (14-22) who have developmental disabilities. The coordinator will assist families with preparing for the transition from the school system to adult services and offer individual supports based on a client and their families expressed need.
<br><br>
<b>What you’ll be doing:</b><br>
<ul>
<li>Utilizes a Person-Centered-Planning philosophy and team approach in coordination of services for all areas of transition</li>
<li>Assists individuals and families to identify and connect to needed resources</li>
<li>Responsible for completing a Family Support Service Agreement for all clients on caseload and/or Service Agreements within Intellect Ability platform for clients one year out from adult services or exiting early from the school system.</li>
<li>Attends school meetings when requested by family</li>
<li>Responsible for timely and accurate documentation for services provided</li>
<li>Complete initial functional screen for every individual requesting, or likely to need, waiver services within 12 months</li>
<li>Educates clients and families on service options and choice</li>
<li>Network with community organizations and groups with the goal of improving the community’s understanding of the developmental disabilities service system.</li>
<li>Provides transportation and accompanies clients and families to program visits as needed</li>
<li>Maintains and updates client files</li>
<li>Completes targeted case management billables for all client encounters, as needed</li>
<li>Participates in occasional weekend/evening events including Transition Fairs, Family Support seasonal events, Community of Practice events, trainings, or Transition Month trainings</li>
<li>Attends various statewide trainings and initiatives, such as annual Transition Summit, SSI Trainings, etc.</li>
<li>Communicates with various agencies and/or schools, such as Voc. Rehab., Juvenile Probation, DCYF, Youth Transition Programs and other vendors</li>
<li>Attend meetings, trainings and events as assigned</li>
<li>Performs tasks, projects and other duties as assigned</li>
</ul>
<b>Qualifications:</b><br>
<ul>
<li>A bachelor’s degree in human services or a related field plus at least three years’ experience working with individuals with disabilities or their families</li>
<li>Expectation that staff will use the technology provided to perform their job</li>
<li>Must possess a valid and current driver’s license, vehicle insurance coverage and have reliable transportation</li>
</ul>
Tell me about the benefits!
<br><br>
While working for an incredible non-profit organization with a great mission and fabulous culture, you’ll be contributing to innovative community and social change. With your amazing co-workers and clients that inspire you, the difference you make each day will not go unnoticed.
<br><br>
<b>In addition to a wonderful working environment, we offer:</b><br>
<ul>
<li>Competitive Wages.</li>
<li>Paid Time Off and Holidays</li>
<li>Health, Dental and Vision</li>
<li>FSA Accounts</li>
<li>Tuition Reimbursement</li>
<li>Life and Long-term Disability Insurance</li>
<li>403(b)</li>
</ul>
Background checks which include, but are not limited to, criminal, OIG, BEAS, DCYF and motor vehicle records are required.:

Case Manager/Transition Coordinator

Soleo Health

<div>Description:
<p>
Soleo Health is seeking a <b>Clinical Transition Coordinator</b> to support our patients in the <b>Macon, GA </b>and surrounding areas.<b> </b>Join us in Simplifying Complex Care! <b>RN license required</b></p><p><b>
Soleo Health Perks:</b></p><ul><li>
Competitive Wages</li><li>
401(k) with a Match</li><li>
Referral Bonus</li><li>
Paid Time Off</li><li>
Great Company Culture</li><li>
Paid Parental Leave Options</li><li>
Affordable Medical, Dental, and Vision Insurance Plans</li><li>
Company Paid Disability and Basic Life Insurance</li><li>
HSA and FSA (including dependent care) Options</li><li>
Education Assistance Program</li></ul><p><b>
The Position:</b></p><p>
The Clinical Transition Coordinator will primarily work closely with physicians in various specialty areas, case managers, internal sales, clinical and operations team members to coordinate a patient&rsquo;s care transition from hospital or healthcare facility to an alternative site of care. In addition to providing a significant level of patient and family education related to their illness and planned treatment, this function will be responsible to secure new referral sources in collaboration with the local territory manager and local operations manager. The position will assist patients in their transfer to alternative sites of care only after the patient&rsquo;s physician has ordered homecare services and the patient has selected the company as their provider of choice.</p><p><b>
Responsibilities include:</b></p><ul><li><b>
Sales Support/Patient Referral: </b>Work with the Regional Vice President and sales team to strategize and secure new referral sources in a geographic market. Work collaboratively with the local territory manager to gain new referrals from physicians, case managers, and other potential points of call. Promotes the company internally and externally while assisting in the development of strategic planning initiatives.</li><li><b>
Patient Coordination: </b>Works closely with multidisciplinary team to maintain and implement up-to-date coordinated care plan to transition to an alternative site; communicates with all members of the healthcare team on behalf of the patient. Provide feedback to healthcare providers regarding the acceptance and progress of patients and document all demographic, clinical, and payer information. Assists branch staff in securing necessary paperwork and signatures needed to commence therapy and submit for payer reimbursement, as necessary.</li><li><b>
Nurse Liaison: </b>Communicates with referring physician&rsquo;s office as appropriate to the patient and physician&rsquo;s needs. Works with hospital case management as a liaison between the company and healthcare providers, including discussing the benefits of specialty infusion services and clinical outcomes.</li><li><b>
Patient/Family Education:</b> Conducts pre-discharge hospital patient visits at the healthcare provider&rsquo;s request to determine the need and eligibility for specialty infusion services; introduces the company upon acceptance of a healthcare provider&rsquo;s referral and explains available services and financial/payer responsibilities to patient prior to discharge. Works with marketing and sales team to educate physicians and facilities on available specialty infusion services. Serves as a patient advocate and conduit to the company.</li><li><b>
Administrative: </b>Maintains accurate, and submits on a timely basis: expense reports, referral tracking, mileage reports, territory reports, sales plans and other documents and training programs mandated by the company, as appropriate.</li></ul><p><b>
Schedule:</b></p><ul><li>
Standard business hours, Monday-Friday 8:30am -5pm, 40 hours per week</li><li>
On-call rotation- 1x every 9 weeks (taking phone calls over the weekend)</li><li>
Must have properly registered insured vehicle to drive 100+ miles as needed</li></ul>
Requirements:
<ul><li>Bachelor's degree or medical background preferred.</li><li>
Registered Nurse required</li><li>
Minimum five (5) years of clinical experience, home health field or management experience preferred.</li><li>
Knowledge of hospitals, skilled nursing/rehab facilities including case management and discharge planning service needs.</li><li>
Advanced practice expertise to identify and implement improvement processes, and the ability to design, direct and implement health care plans on behalf of the patient.</li></ul><p><b>
About Us: </b>Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!</p><p><b>
Soleo&rsquo;s Core Values:</b></p><ul><li>
Improve patients&rsquo; lives every day</li><li>
Be passionate in everything you do</li><li>
Encourage unlimited ideas and creative thinking</li><li>
Make decisions as if you own the company</li><li>
Do the right thing</li><li>
Have fun!</li></ul><p>
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.</p><p>
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.</p><p>
Keywords: Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring,</p><p>
#INDALL</p></div>

Clinical Transition Coordinator - RN

Prohealth Group

<div><p><b>ProHealth Group | Home Health &amp; Hospice</b><br>
<b>Care Transition Coordinator Job Description</b></p>
<p>
Reports to Director of Marketing and/or Region Manager</p>
<p><b>
Job Summary:</b> Care Transition Coordinators serve as the primary liaison between the company and referral sources. Responsible for developing, maintaining and servicing community relations in several settings. Serves as a resource to provide education and information on company&rsquo;s programs and services to patients, caregivers, physicians, case managers, discharge planners, social workers and others. CTC is responsible for obtaining patient referrals within the assigned territory for the company.</p>
<div><b>
Job Qualifications:</b><br>
<ul><li><b>Education</b></li><li>Required: An Associates Degree in Business, Nursing, Marketing, or Healthcare related field. In lieu of degree, five or more years of experience in Business to Business and/or industry selling experience.</li><li>Desired: Bachelor&rsquo;s Degree in Business, Nursing, Marketing or Healthcare Related Field. Formal sales training also preferred.</li></ul></div>
<ul><li><b>Experience</b></li><li>Required: One year of sales experience. One or more years of related nursing experience may be substituted for sales experience.</li><li>Desired: Two to five years of sales experience. One or more years of sales or nursing experience in home Health or Hospice.</li></ul>
<ul><li><b> Licenses, Certifications, and/or Registrations:</b></li><li>Current Alabama Driver&rsquo;s License</li></ul>
<ul><li>Current Automobile Liability Insurance</li></ul>
<ul><li><b>Equipment</b></li><li>Reliable Transportation</li><li>Cell Phone</li></ul>
<ul><li><b>Specialized Knowledge and Skills</b></li><li>Medicare guidelines for home care services</li><li>Communication and relationship development skills</li><li>Problem identification, resolution and strategic planning</li><li>Communications, public relations and health education</li><li>Basic knowledge of sales</li><li>Community assessment identification related to geriatric needs</li></ul>
<ul><li><b>Personal Traits, Qualities and Aptitudes</b></li><li>Knowledge of physician, hospital, skilled nursing facility, case management and discharge planning service needs.</li><li>Ability to effectively communicate homecare and hospice services with all levels of the healthcare industry.</li><li>Ability to accept responsibility for the direction, control and planning of activities.</li><li>Ability to handle stressful situations and deadlines.</li><li>Ability to demonstrate strong communication skills.</li><li>Promotes team efforts and works well with others.</li><li>Recognizes the rights and responsibilities of company and patient confidentiality.</li><li>Ability to manage multiple assignments and can redirect priorities on short notice.</li><li>Ability to travel within assigned territory and to sales meetings.</li></ul>
<p><b>
Primary Job Functions:</b></p>
<ul><li><b>Manage Sales Performance</b></li><li>Monthly Home Health and/or Hospice budgets are met on a consistent basis.</li><li>Review of territory on a regular basis and discussed with manager in order to optimize market potential.</li><li>Sales meetings are held to work with operations in order to achieve goals of the company. CTC is expected to be prepared, organized and engaged in all subject matters.</li></ul>
<ul><li><b>Territory Management</b></li><li>Assigned territory is effectively and efficiently targeted to include communication and education of home health and hospice services while utilizing available resources.</li><li>Developing and implementing weekly and monthly call plans with optimal territory productivity.</li><li>Strategic planning for the territory.</li><li>Identify new referrals sources and maximize the opportunity to grow business within the entity.</li><li>Efficiently cover assigned territory on a weekly, monthly, and quarterly basis.</li><li>Knowledge and understanding to be maintained on all systems used to track referrals and referral sources so that data can be obtained to discuss trends at sales meetings.</li><li>Territory specific daily and weekly call quotas are met to optimize territory.</li><li>Assignment report will be accurately maintained.</li></ul>
<ul><li><b>Customer Knowledge and Market Dynamics</b></li><li>Knowledge of referral sources businesses and practices</li><li>Understand of referral sources organization structure and key decision makers</li><li>Aware of market conditions and trends to include but not limited to specific opportunities and challenges</li><li>Ability to assess market potential and differentiate between physician and facility opportunities</li><li>Strengths and weakness of home health and hospice competition, including but not limited to competitive sales efforts and market share</li><li>Determining referral source potential and productivity is maintained</li></ul>
<ul><li><b>Strong Selling Skills</b></li><li>Pre call planning and objectives are appropriate and demonstrated</li><li>Knowledge of sales process</li><li>Relationship building and maintaining</li><li>Resources such as sales material, branch staff, medical directors and marketing budget are used in an appropriate manner</li><li>Ability to problem solve and resolve conflict</li></ul>
<ul><li><b>Administrative Duties</b></li><li>Prompt attendance and engaged in all meetings.</li><li>All assignment given by manager are completed on time.</li><li>Sales calls are document appropriately and by deadline of Monday at 8am.</li><li>Expenses logged and reporting done by deadline</li><li>Follow up on all pending referrals</li><li>Timesheets and mileage are completed by 9am Monday morning.</li></ul>
<p><b>
Working Conditions:</b><br>
Travel by car to physician offices, hospitals, community centers, and events with exposure to all extremes of weather. Environments may be unpredictable and not under control of the Agency.</p>
<div><b>
Physical Requirements:</b><br>
<ul><li>Must be able to perform limited to full range heavy work requiring sitting, standing, walking and driving.</li><li>Must possess vision, hearing and physical dexterity necessary to maintain a driver&rsquo;s license and operate an automobile.</li><li>Must be able to climb stairs, access and operate elevators. Must be able to maneuver on all types of terrain.</li><li>Must possess vision, hearing, feeling, physical strength and dexterity necessary to perform all duties of a Care Transition Coordinator.</li><li>Must be able to communicate effectively both orally and in writing. Must be able to give and receive instructions and information, both in person and via telephone.</li><li>Work requires exerting force up to 50 pounds occasionally, and/or up to 25 pounds frequently, and/or up to 10 pounds constantly in moving objects or materials.</li></ul></div></div>

Medical Sales Representative (Hunstville, Alabama). - ProHealth Home Health & Hospice

Commonwealth of Massachusetts

<div></div><div><div><div><div><div><p>The Department of Mental Health (DMH) is seeking qualified applicants for the position of Forensic Transition Team Coordinator. The selected candidate provides tracking, release planning, and follow up services to pre-trial, sentenced, and civilly committed DMH eligible clients incarcerated in county, state, federal, and out-of-state correctional facilities. The Forensic Transition Team Coordinator meets with DMH clients in correctional settings and provides linkage to community-based services. The incumbent also gathers statistical information and tracks all DMH incarcerated clients via data collection systems.</p><p>
Applicants will need access to reliable transportation for considerable work-related travel from the Area Offices to correctional facilities and places of detention, not only in the assigned areas but also relevant facilities and locations throughout the Commonwealth as required.</p><p></p><p><b><i><br>
Please Note</i></b><i>:</i> <b><i>Internal and external applicants must pass a national criminal offender record check required by the Department of Corrections.</i></b></p><p></p><p><b><br>
Duties and Responsibilities (these are a general summary and not all inclusive):</b></p><ul><li>
Collaborates with state, county, federal, and out-of-state correctional clinical staff, DYS, Parole, Probation, DMH Case Management, DMH CM Supervisor(s), DMH Area Medical Director(s), DMH Area Forensic Director(s), DMH vendors, and court clinicians to facilitate timely identification of, and eligibility determination for, DMH Continuing Care clients.</li><li>
Conducts interviews and assessments in correctional institutions and settings.</li><li>
Files appropriate entitlement applications and referral forms and initiates coordination and collaboration with appropriate agencies to develop a comprehensive community service plan prior to a DMH client inmate&rsquo;s release.</li><li>
Completes Psychosocial Assessment on appropriate DMH eligible clients.</li><li>
Coordinates inter-agency involvement and advocates with service providers including but not limited to the Department of Correction (DOC), Houses of Corrections (HOC&rsquo;s), court clinics, Parole, Probation, DYS, Social Security, Medicaid, and DMH vendors to facilitate service provision to DMH client offenders.</li><li>
Provides linkage between correctional and mental health agencies.</li><li>
Engages social supports from client&rsquo;s community (as available) and provides education regarding client&rsquo;s mental illness and treatment needs as necessary.</li><li>
Monitors client response to service plan; attends meetings needed to discuss service plan effectiveness and modifications to service delivery.</li><li>
Monitors and documents client progress in treatment for no less than three months after release.</li><li>
Completes data forms and data entry as required.</li><li>
Performs related duties as required.</li></ul><p></p><p><b><br>
Required Qualifications:</b></p><ul><li><p>
Knowledge of the functions of the community mental health system.</p></li><li><p>
Basic knowledge of mental disorders and developmental disabilities.</p></li><li><p>
Knowledge of basic clinical skills and understanding of human behavior, social work, healthcare, and law<b>.</b></p></li></ul><ul><li>
Ability to communicate effectively, think quickly and make independent judgments.</li><li>
Ability to negotiate, mediate and diffuse conflict.</li></ul><p></p><p><b><br>
Preferred Qualifications:</b></p><ul><li>
Familiarity with systems and community resources as they relate to disposition planning from the correctional system.</li><li>
Knowledge of the criminal justice system.</li><li>
Knowledge of MGL c. 123.</li><li>
Given the population served bilingual or multilingual fluency.</li></ul><p></p><p><b><br>
DMH Mission Statement:</b></p><p>
The Department of Mental Health assures and provides access to services and supports to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. The Department establishes standards to ensure effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights and supports mental health training and research.</p><p></p><p><b><br>
Pre-Offer Process:</b></p><p>
A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori</p><p>
Education, licensure and certifications will be verified in accordance with the Human Resources Division&rsquo;s Hiring Guidelines.</p><p>
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth&rsquo;s website.</p><p><b>
ADA Reasonable Accommodation:</b></p><p><b>
If you require a reasonable accommodation with the application/interview process, please contact us at: </b><b>EOHHS Candidate ADA Requests</b></p><p>
For questions regarding this requisition, please contact the Executive Office of Health and Human Services, Human Resources at 1-800- 510-4122 Ext. #4.</p></div></div></div><div><br>
</div><div><div><div><div><b>
Qualifications - External</b></div></div></div></div><div>
</div></div><div><b>
Qualifications</b><div></div><div><b><br>
First consideration will be given to those applicants that apply within the first 14 days.</b></div><div><br>
</div><div><b>
 </b>Applicants must have (A) at least three (3) years of full-time or equivalent part-time, professional experience in human services work or social work or (B) any equivalent combination of the required experience and substitutions below.</div><div>
</div><div>
Substitutions:</div><div>
I. A Bachelor's degree or higher in a related field may substitute for two (2) years of the required (A) experience.</div><div></div><div><br>
Based on assignment, travel may be required. Incumbents who elect to use a motor vehicle for travel must have a current and valid motor vehicle driver's license at a class level specific to assignment.</div><div></div><div><br>
Based on assignment as Qualified Intellectual Disabled Professionals, within the Department of Developmental Services, a Bachelor's degree or higher in social work, psychology, sociology, counseling, counseling education, education of the physically or emotionally handicapped, education of the multiple handicapped, education of the learning disabled, human services, rehabilitation, rehabilitation counseling, nursing, recreation therapy, art therapy, dance therapy, music therapy, physical education or other a related field is required.</div><div></div><div><br>
Salary placement is determined by a combination of factors, including the candidate&rsquo;s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division&rsquo;s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.</div><p></p><p><b><br>
Comprehensive Benefits</b></p><p>
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.</p><p>
Want the specifics? Explore our Employee Benefits and Rewards!</p><div></div><div><b><br>
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.</b></div><div></div><div><br>
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.</div><div><br>
</div></div><div><b>
Official Title</b><b>:</b> Human Services Coordinator I</div><div><b>
Primary Location</b><b>:</b> United States-Massachusetts-Tewksbury-365 East Street</div><div><b>
Job</b><b>:</b> Community and Social Services</div><div><b>
Agency</b><b>:</b> Department of Mental Health</div><div><b>
Schedule</b><b>:</b> Full-time</div><div><b>
Shift</b><b>:</b> Day</div><div><b>
Job Posting</b><b>:</b> Mar 18, 2026, 2:17:47 PM</div><div><b>
Number of Openings</b><b>:</b> 1</div><div><b>
Salary</b><b>:</b> 68,435.12 - 93,470.00 Yearly</div><div><b>
If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator</b><b>:</b> William Herbert /William.L.Herbert3@mass.gov - 6173081080</div><div><b>
Bargaining Unit</b><b>:</b> 08-SEIU - Local 509 - Social/Rehabilitation</div><div><b>
Confidential</b><b>:</b> No</div><div><b>
Potentially Eligible for a Hybrid Work Schedule</b><b>:</b> Yes</div></div>

Forensic Transition Team Coordinator

Amedisys

<div>Overview:
<div><b>Make a difference every day as an Amedisys care transitions coordinator</b></div><div>
Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home.This role requires an RN, LPN or other clinical license, plus previous outside sales/business development experience in the healthcare industry. A background in cold calling customers in pharmaceuticals, medical device sales, hospital, home health, hospice or long-term care is ideal.</div><div>
</div><div><b>
Attractive pay</b></div><p></p><p><br>
$70,000-$75,000</p><div><br>
</div><div><b>
Territory</b></div><div>
</div><div><b>
Bristol TN</b></div><div><b>
What's in it for you</b></div><div><ul><li>
Choice of PPO or HSA medical plans with free telehealth.</li><li>
Paid time off.</li><li>
Up to $1,000 in free healthcare services with Amedisys HSA plan.</li><li>
Up to $500 in wellness rewards for activities-use for spa, gym, sports, hobbies, pets and more.*</li><li>
Mental health support with up to five free counseling sessions through the Employee Assistance program.</li><li>
401(k) with a company match.</li><li>
Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.</li><li>
Fleet vehicle program (restrictions apply) and mileage reimbursement.</li><li>
And more.</li></ul><ul><li><i>Benefit eligibility can vary by position and shift status.</i></li><li><i>Participation requires enrollment in an Amedisys medical plan.</i></li></ul></div>
Responsibilities:
<ul><li>Educates health care professionals, patients, and families about home care services.</li><li>
Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads.</li><li>
Coordinates patient admissions with the team, including obtaining all required documentation to complete referral to admission process.</li><li>
Conducts on-site visits to assess patient needs and identify barriers to care.</li><li>
Keeps accurate records of patient interactions and referrals.</li><li>
Achieves admissions, product, and payor-mix goals.</li><li>
Meets short and long-term target account goals.</li><li>
Documents the minimum expectation of sales calls daily in CRM (including pre and post call notes).</li><li>
Maintains a complete, up-to-date record of targeted referral sources in territory in CRM.</li><li>
Attends community events to promote Amedisys.</li><li>
Responds to customer complaints in timely manner.</li><li>
Performs other duties as assigned.</li></ul>
Qualifications:
<ul><li>At least one year of experience in a healthcare related business development/outreach role. A bachelors degree is preferred, but not required.</li><li>
Current RN or LPN license, specific to the state(s) you are assigned to work. MSW, LCSW, PT, PTA, OT, OTA, SLP, and PA licenses are considered in some cases.</li><li>
Reliable transportation, current driver's license, and liability insurance.</li></ul><div><b>
Please note</b>: This role will travel 50% or more within the assigned territory.</div><div></div><div><i>
Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.</i></div><p><i>
Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.</i></p></div>

Care Transitions Coordinator RN/LPN Clinical Sales

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