Overview
Support Patients. Ensure Smooth Transitions. Enable Quality Care.
The Care Transitions Clinical reports to the VP of Care Coordination and supports the Director of Care Transitions in proactively identifying patients potentially suitable for hospice care. This role tracks patients to ensure optimal continuity of care during their transition into our services. This position does not conduct patient assessments, care planning, or discharge planning.
As a Care Transitions Clinical, You Will:
Review medical records against nationally recognized clinical criteria guidelines under the oversight of the Director of Care Transitions (DCT)
Document and track patients within Gentiva systems and send referrals as directed by the DCT
Focus on placing patients in the right care setting at the right time
Collaborate closely with the Director of Care Transitions to ensure smooth patient transitions
Participate in special projects and perform other duties as assigned
Provide education regarding Home Health, Hospice, and Palliative Care services
Assist with clinical eligibility review for alternate services
Adhere to and participate in mandatory Company training, including HIPAA, Business Ethics, Compliance, and other policies and procedures
Review and follow all Company policies and procedures while promoting core values
About You
Qualifications – What You’ll Bring:
LPN or RN Nursing degree
At least 3 years of clinical home care and/or hospice experience
Nursing experience in post-acute care
Strong knowledge of Home Health, Hospice, and Palliative Care services
Excellent understanding of state and federal home health/hospice agency benefits, eligibility, regulations, conditions of participation, and compliance requirements
Excellent analytical, problem-solving, verbal, and interpersonal skills
Ability to learn and master information regarding locations and services
Strong time management skills
Fluency in English (reading, writing, speaking)
Reliable attendance and professionalism
Preferred Qualifications (Not Required):
Prior experience in a Care Transitions or patient navigation role
Familiarity with electronic medical record (EMR) systems
Additional certifications in post-acute care or care coordination
Experience with patient education or telephonic care coordination
We Offer
Benefits for All Associates (Full-Time, Part-Time & Per Diem):
• Competitive Pay• 401(k) with Company Match• Career Advancement Opportunities• National & Local Recognition Programs• Teammate Assistance Fund
Additional Full-Time Benefits:
• Medical, Dental, Vision Insurance• Mileage Reimbursement or Fleet Vehicle Program• Generous Paid Time Off + 7 Paid Holidays• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)• Education Support & Tuition Assistance• Free Continuing Education Units (CEUs)• Company-paid Life & Long-Term Disability Insurance• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Apply today and help patients transition smoothly across Gentiva care settings while providing knowledgeable and compassionate support.
Legalese
Our Company
At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader inhospice care, palliative care, home health care, and advanced illnessmanagement, with nearly 600 locations and thousands of dedicated clinicians across 38 states.
Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Our nationwide reach is powered by a family of trusted brands that include:
With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.