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FT Care Transition Coordinator 

Req Number MAR-13-00002  
Division Attentive Home Health  
Location Arlington, TX  
Full-Time/Part-Time Full-Time  
Open Date 4/1/2013  

The Care Transition Coordinator represents the organization in the community and is responsible for educating physicians and other healthcare professionals and potential clients in the benefits and services provided by the Agency. The Care Transition Coordinator is responsible for business growth and development and constantly strives to increase the Agency’s presence in the communities it serves. The Care Transition Coordinator is vital in care coordination for newly referred patients and patients on service who have been hospitalized and remains an active member of the patient’s care team from admission to discharge.

  • Ensure internal and external customer service a priority at all times
  • Participate in Unit / Branch growth and development
  • Participate in program development
  • Research and develop strategies and plans which identify marketing opportunities, direct marketing, and new community contact development
  • Remain active across referral continuum demonstrating ability to secure new and post-    hospital Medicare referrals, and facilitate the return of prior clients. Includes follow up with referral sources.
  • Understand home health care admission criteria and procedures
  • Engage in community education
  • Participate in Performance Improvement (PI) activities as requested
  • Work within budget; utilize resources in a cost effective manner; submit expense reports accurately and timely
  • Active member of sales and care coordination teams
  • Work independently with self direction and motivation
  • Make appropriate independent judgments required in the absence of direct supervision
  • Communicate appropriately and effectively with staff / supervisor / patients, etc.
  • Control absences from work so they do not inhibit performance
  • Comply with HIPAA privacy regulations and maintains confidentiality at all times
  • Exercise sound professional judgment
  • Perform visits as dictated by the Agency’s needs (if applicable)
Position Requirements
  • Required: excellent problem solving, negotiating and communication skills
  • Required, strong organization and time management skills
  • Required, demonstrated knowledge and skills necessary to communicate effectively with community members and the geriatric population, both verbally and in writing
  • Required, appropriate and professional dress attire
  • Required, valid driver's license and current auto liability insurance
  • Required, adequate means of transportation to facilitate timely physician and facility meetings
  • Required, computer, internet access and email capabilities from home or other off-site location


  • Required, minimum of two years of college or two years of work related experience.
  • Bachelors degree in social work or related field preferred.

Training and Experience

  • Preferred, one to two years work experience in community education related to long term care, assisted living, home health, DME, pharmacology, and/or related settings
  • Preferred, working knowledge of Medicare eligibility requirements
  • Preferred, minimum of one year of experience in home health or a health care field
  • Preferred, minimum of one year of experience in dealing with physicians and physician staff
  • Preferred, proof of successful sales track record

Physical Requirements

  • Works with computers on intermittent basis
  • Moderate physical activity. Requires bending and stooping, reaching and lifting up to 25 pounds, standing and / or walking for extended periods
  • Speaking, hearing (aide permitted) (hear conversational voice 15 feet - one ear); able to comprehend normal speech
  • Works outside and inside, closely with others
  • Generally works regular business hours
  • Works within physician offices, hospitals, SNF, LTAC, Assisted living facilities, and community social environments
About the Organization CareCycle Solutions is a progressive company; we are changing the face of health care. Our leadership has an agenda that will continue to set us apart from our competition:

* We are the largest non-government telehealth program in the United States.
* We have validated studies that prove dramatic reduction in patient rehospitalization.
* We deliver a post acute answer to managing care transition.

With over 1000 employees throughout Texas and Louisiana dedicated to making a difference, our future is bright. The Triangle of Care concept is centered around our patients: Telehealth, Therapy and Nursing…always together, never apart.

Attentive Home Health * Brady Health Care Services * Delta Home Health * Hill Country Home Health * MedSource Home Health * Thompson Home Health * VitalPartners 365


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