Transitional Case Manager

About this role

Explore opportunities with Baptist Trinity Home Health and Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here

Join us and embrace a culture of Caring. Connecting. Growing together

As the Transitional Case Manager (TCM), you will be facilitating seamless transitions for patients from facility settings to post-acute care. You will verify home health orders, assess care requirements, and ensure continuity of care. Your role includes assessing patients' health literacy, involving patients and families in care planning, and providing education to improve outcomes and promote self-management

You will implement rehospitalization reduction initiatives for patients at risk and communicate with healthcare providers throughout the transition. RN or LPN required Primary Responsibilities: Educate patients on post-discharge follow-up, homebound criteria, and obtaining prescriptions Assess readmission risk using the LACE tool Ensure patients and families have agency contact information Coordinate ancillary services (DME, Infusion) as needed Assist in preparing for patient care post-discharge Liaise between the agency and healthcare providers Communicate patient transfers and coordinate resumption of care Provide feedback on readmissions and non-admit decisions Perform other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted RN or LPN licensure in state of practice Current CPR certification 1+ years home h

Apply for this role on UnitedHealth Group’s official careers site.