Post-Acute Care is an end-to-end post-acute offering that manages up to 90-day episodes of care, beginning prior to the patient’s discharge from the hospital, or for elective surgical cases, outreach begins prior to hospitalization. The program optimizes our home-based network, identifies the likely best site-of-care for the patient, manages length of stay (LOS) if a Skilled Nursing Facility (SNF) is appropriate, and reduces hospital readmissions. Our program also coordinates all of the services required for a patient to transition to their home faster and safer, via our network of home health, durable medical equipment and home infusion providers, all of whom are supported by our Post-Acute Care coordination team.
This position incorporates all Care Coordinator functions within the CareCentrix Post-Acute Care Program including collecting and verifying clinical and demographic information, hospital discharge dates, initial authorizations, staffing of services with HHA and patient / provider education for Post-Acute Care Program. The Post-Acute Care Coordinator educates and gathers information using scripted clinical and non-clinical questions and is able to provide appropriate issue resolution and/or escalation when needed. The position works under moderate supervision, with clinical oversight and input.
CareCentrix maintains a drug-free workplace in accordance with Florida’s Drug Free Workplace Law.