HCA, Hospital Corporation of America Transition Care Coordinator (TCC) in Nashville, Tennessee

Do you have the career opportunities you want in your current role? We have an exciting opportunity for you to join the nation's largest provider of healthcare services in our growing Bundled Payments program.



We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, and employee stock purchase program. If you have worked as an intake nurse, nurse navigator, care navigator, care coordinator, palliative care nurse, or a chronic care manager you may also be a good fit for this role. We would love to talk to you about this fantastic opportunity.

HCA is searching for a Registered Nurse (RN) or Physical Therapist (PT) to join our team as a Transitional Care Coordinator (TCC). You would generally have face to face interaction with patient/care giver and post-acute (PAC) care provider with some telephonic outreach.



_What you will do:_ * Perform patient/caregiver reported assessments that assist in identifying the patient’s discharge needs and potential barriers. * Coordinate and collect data from the inpatient care team to inform the discharge plan with a primary goal of providing a safe transition from acute care to the next best level of care. * Reduce barriers to discharge/care utilizing organization and community resources as appropriate. * Participates as an active member of the in-patient care team collaborating with patient, family, providers, case management, hospital staff and other care team partners. * Act as advocate, liaison and information resource for both hospital staff as well as the patient and family. * Collaborate effectively with the inpatient care team to establish an optimal discharge plan. * Facilitate patient access to appropriate medical providers. * Ensure timely and appropriate follow up appointments are made and adhered to. * Document all encounters and patient related discussions, telephonic or in-person, in the patient medical record per organization standards. * Assist with identification of “High Risk” patients with transition to appropriate chronic care program(s). * Educates patient in role of the care coordinator. * Maintains accurate records regarding case load, stratification, and frequency of contact. * Develop a listing of community resources and programs and how to access the same. * Reviews scheduled discharges, new admissions and any case requiring intervention. * Ensure timely and appropriate documentation in EHR. * Telephonic and electronic review of patients discharged to Skilled Nursing Facility, monitoring patient’s appropriateness for the PAC setting. Assure the patient is progressing toward discharge goals and assist to resolve barriers. * Communicate SNF opportunities/challenges with the Director of Post-Acute (PAC) Network Partnerships.

_What you should have_:



The right person for this role will be a Registered Nurse (RN) or Physical Therapist (PT) that is goal driven, and has previous experience in clinical or community resources setting. Care coordination that extends beyond the acute setting is experience is desirable. * You should have graduated from an accredited school of nursing or therapy and be licensed in the state of employment. * Minimum of 2 years field experience. * Minimum 4 years’ experience in Care Coordination, post-acute care (PAC) utilization management, PAC facility management or related area desirable. * You must be able to influence patients, family members and post-acute care providers to ensure that care plans are followed and positive patient outcomes are achieved. HCA Healthcare ranks on Fortune’s list of Most Admired Companies for three consecutive years and HCA ranks 63rd on the fortune 500 list. In addition Ethisphere named HCA as one of the World’s Most Ethical Companies. We want you to join our tradition of excellence. Intrigued? We’d love to hear from you.

If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our recruiters. We are actively interviewing so apply today!



We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Job: *Case Management

Title: Transition Care Coordinator (TCC)

Location: Tennessee-Nashville-Centennial Medical Center

Requisition ID: BPCI-TCC13