Nov 19, 2021

Care Transition Associate

  • Providence
  • Torrance, CA, USA

Job Description


Providence is calling a Care Transition Associate (1.0 FTE/40 hours a week, Day Shift) to work in Strategy and Business Development in PSCS Divisional Services. This position will be supporting the Saint John hub coverage area (Santa Monica and surrounding areas).

Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system.

We are seeking a Care Transition Associate who will perform a variety of patient centered administrative tasks to support the RN Clinical Liaison/Business Development team in the care coordination hospital hubs that support care transition work for home health and hospice. Will work under their direction to support patients and families with their specific discharge plan and plan of care for home health and hospice referrals. The Care Transition Associate supports the management and driving of top line growth for home health, hospice/palliative care, and other referrals.

This role will collaborate closely with other Business Development team members to build referral volumes in the hospital and develop opportunities for educational outreach that will enhance service awareness and access. Additional duties assigned may include collaboration with local Service Line leadership in essential meetings, reporting on tactical plans, training/orientation, and day-to-day support of the business development staff.

In this position you will:

  • Act as a Liaison between outside agencies, outpatient setting and the inpatient setting:
  • Knowledge of roles and function to be able to make appropriate phone calls to assist the RN clinical liaison and healthcare team on both the outpatient setting and inpatient setting related to home health and hospice services.
  • Ability to convey and document pertinent information clearly
  • Ability to develop strong collaborative working relationships
  • Provide high degree of customer service to patients/families, case management teams, physician/providers, and clinical team
  • Effectively manages customer resolution issues independently or seeks management/leadership involvement as needed
  • Coordinate with team members to maximize sales effectiveness, account penetration and market share, and targeted referral growth
  • Maintain confidentiality of all patient demographics, medical and financial information at all times. Maintain confidentiality of all company and client information. Ensures proper handling and disposal of confidential documents and adheres to all HIPAA rules and regulations
  • Adhere to all policies and procedures including regulatory requirements with regard to infection control, practicing standard precautions, sanitation, and safety and disaster preparedness
  • Ability to provide in-person education and consultation to patients and families regarding services such as home health and hospice and other post-acute services:
  • Make recommendations to the management team regarding innovative ways to promote a particular idea or concept through marketing materials and strategies that foster accessible, quality, cost effective, and outcome driven services
  • Meet with discharge planners, physician groups, and other referral sources on a regular basis to maintain good customer relations, ensure satisfaction and provide updated materials, introduce new or changes in services, etc
  • Strong understanding of community resources and the ability to educate patients and families on these community services
  • Contact following MD and provider offices to follow and verification of home and hospice orders
  • Communication with patient and family to verify pertinent medical and data applicable to home health and/or hospice admission
  • Schedule for home health and hospice starts of care
  • Provide administrative support to the inpatient/outpatient RN Liaisons:
  • Fax, Copy phone calls as directed in a timely manner
  • Pull appropriate documentation from EMR such as orders and manage referral lists in Epic, such as resumption of care (ROC) home health and other home health and hospice lists
  • Enter appropriate data into EMR, such as physician/provider orders, home health and hospice orders/information and documentation, and other clinical and non-clinical information
  • Obtain and communicate updated information to the RN clinical liaison and clinical care team:
  • Communication of information to the RN clinical liaisons and healthcare team that is accurate, complete, and to appropriate staff in a timely manner
  • Triage priority requests appropriately
  • Retrieve voice mails and convey messages to staff in a timely and accurate manner
  • Excellent verbal and written communications skills in English
  • Excellent customer service communication skills by phone, email, and face-to-face
  • Communicate clearly, sensitively and in supportive professional manner with patient/family/caregivers, co-workers and public.
  • Ability to follow appropriate communications channels
  • Work closely with the RN clinical liaison on the inpatient/outpatient side in order to receive tasks which support the day to day work of the RN clinical liaisons:
  • Maintain consistent and often communication with the RNs throughout the work day in order to meet the needs of the Healthcare team and patients
  • Participate in staff meetings and in departmental or hospital performance improvement activities or educational requirements to ensure continued understanding of policies and procedures, to remain compliant with regulations, and to assist in Continuous Quality Improvement programs and follows established standard work:
  • Attend all scheduled staff meetings when scheduled on work day and is responsible to obtain staff meeting information if unable to attend. Incorporates information and education provided there into her/his work processes
  • Participate in and assists in implementation of departmental and hospital wide quality improvement projects as required
  • Complete all required on line courses and documents as required by hospital, health system or other regulatory authority
  • Other duties as assigned
  • Team/Interpersonal Skills:
  • Excellent negotiation and public relations skills
  • Demonstrated ability to maintain positive, collaborative, and constructive interpersonal relationships. Understands and practices the principles of effective teamwork
  • Apply and maintain strong team collaboration skills within and across ministries, and in particular, builds strong relations with operations and clinical team members
  • Ability to work with families in crisis
  • Ability to develop positive working relationships with diverse and multicultural staff of ministry, community groups and individuals
  • Strong skills in facilitating complex problem solving
  • Communication
  • Excellent verbal and written communications skills in English
  • Excellent customer service communication skills by phone, email, and face-to-face
  • Communicate clearly, sensitively and in supportive professional manner with patient/family/caregivers, co-workers and public
  • Ability to follow appropriate communications channels
  • Additional duties may include the following: in collaboration with Director of Business Development,
  • Provide support to local Team members for escalated customer service issues
  • Serve as the local Outreach Team representative and actively participate in Operation meetings
  • Respond to daily needs of local Team, including facilitation of excellent communication channels between Business Development and Intake Department
  • Perform other duties as requested
  • Region and ministry dependent: skilled nursing facility collaboration and interface


Required qualifications for this position include:

  • Associate's Degree or 5 years work experience
  • Demonstrated work experience with patients and families.
  • Work experience

Preferred qualifications for this position include:

  • Medical terminology
  • Health care training
  • Educational courses in healthcare
  • Work experience, preferably in health care setting, providing customer service and administrative support to professionals.
  • MS Word and Excel software programs
  • Experience with Epic electronic medical records (EMR)
  • Knowledge of human anatomy and physiology and disease processes

About the department you will serve.

Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Patient Services

Location: California-Torrance

Req ID: 303242