Transitional Care Coordinator Medical Oncology

Transitional Care Coordinator In Oncology

At Banner MD Anderson Cancer Center, patients experience customized, comprehensive and compassionate cancer care. We travel through the cancer journey with patients, supporting their unique medical and personal needs every step of the way. We believe patient care is most effective when it's truly collaborative. Our evidence-based, multidisciplinary approach brings together physicians from all cancer specialties to provide highly coordinated and compassionate care.

As a Transitional Care Coordinator in Oncology, you will support our patient navigation team by ensuring a smooth and timely transition for patients from acute care to post-acute settings, community services, or home-based care. You will help facilitate referrals, arrange services such as transportation and durable medical equipment, and ensure continuity of care across the healthcare continuum. This role requires close collaboration with interdisciplinary teams, external providers, and community resources to overcome barriers and streamline patient transitions. Your attention to detail and commitment to patient-centered care will be essential in documenting plans, securing necessary authorizations, and promoting seamless communication between care settings.

Schedule: 40hrs wk., Monday - Friday between 8am-5:30pm

POSITION SUMMARY This position supports the smooth, timely, and coordinated client transition from acute care to alternative levels of care including but not limited to post-acute settings, community services, or home with post-acute service support, as directed by the care coordination team. This position performs follow-up tasks and coordinates the logistics for a patient's discharge services identified in the inpatient discharge care plan for management of Banner patients across the healthcare continuum.

CORE FUNCTIONS

1. Works to coordinate the patient's transition into or out of a care setting and obtains appropriate services and benefits as directed by the care coordination team.
2. Coordinates and manages the logistics of discharge planning for individual patients and works to coordinate the patient's transition into or out of a care setting and obtains appropriate services and benefits as directed by the care coordination team.
3. Documents all interventions in the patient medical record both timely and accurately including all elements of the discharge plan.
4. Works collaboratively with team members; promotes collaborative relationships with vendors, community and referral resources.
5. May perform tasks such as securing community resources or other tasks.
6. Works under general supervision. Confers with supervisor on any unusual situations.

Internal customers: Post-acute services team members and all levels of nursing management and staff, medical staff, and all other members of assigned facility interdisciplinary health care team. External customers: home health agencies, nursing homes, insurance providers, group homes, assisted living facilities, hospice, long-term acute care hospitals, inpatient rehabilitation facilities, volunteer agencies, county/governmental agencies and medical supply companies and others as required.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Certification for BLS is required for acute-care settings where direct patient care is provided. The position requires a proficiency level typically achieved with one year of experience in healthcare as a Nursing Asst, Medical Asst, Health Unit Coordinator, Patient Care Tech, etc. Must demonstrate effective communication and customer service skills, human relation skills and time management skills with flexibility in responding to multiple demands. Must be able to work flexible hours and work after hours/weekends on rotation.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.