RN Senior Transition Specialist
Core
Coordinates the safe transition of members in the community from various levels of health care services, developing care plans and educating enrollees on service requirements and limitations.
Role type
Senior RN Transition Specialist
Builds
Member transition plans and care coordination services
Domain
Healthcare / Health Insurance
Required skills
Care coordination, Member assessment, Transition planning, Provider interaction, Education delivery, Process improvement, Data analysis, Documentation, Stakeholder management, Regulatory compliance
Preferred skills
Registered Nursing (RN) license
Technologies
Electronic Health Records (EHR), Telephonic outreach tools
Responsibilities
Develop effective transition plans for members, Identify new enrollees requiring transition services, Ensure existing authorizations are honored during transitions, Educate members and families on service requirements and limitations, Review transition metrics to identify trends, Develop education materials and training programs for staff and providers, Coordinate between members, families, and care provider teams
Seniority
Senior, hands-on IC