Specialist Care Transitions

Job Summary

Provides consultative, facilitative, technical and education support to patients, families, physicians, care managers, finance departments and health care facilities with regards to post-acute insurance benefits and coverage and the types, appropriateness, levels-of-care and availability of local post-acute services in the service area. Provides formal and informal education, formal and informal consultative support, facilitates benefit verification and, assists customer groups in the placement of patients in the appropriate post acute setting. Serves as a resource to the Spectrum Health Hospital Group, Spectrum Health Medical Group, Priority Health, Medical Staff, post-acute providers, vendors and the larger community. The consultant may provide coverage for, and be deployed in support of, Post Acute Community Liaisons.

Essential Functions

• Serves as a post-acute services resource to the Spectrum Health Hospital Group, Spectrum Health Medical Group, Priority Health, vendors, post-acute providers, hospitals, Medical Staff and the larger community.
• Provides formal and informal education (CME, ANA or equivalent certified when relevant) regarding: nature, type and availability of post-acute services; best-practice clinical models; post-acute services role in improving patient outcomes and; role and value of post-acute providers in improving hospital, physician and community patient care metrics.
• Works closely with customer groups (hands-on when necessary) to help them understand, verify, qualify and quantify post-acute insurance and benefits coverage.
• Facilitates patient discharges to post-acute providers.
• Works closely with targeted Health Care Providers to help them understand which post-acute services will be of most benefit to their patients.
• Works with the manager to formulate and continually update provider lists.
• May provide coverage for, and be deployed in support of, Post Acute Community Liaisons.
• Is an integral part of the Marketing/Communications team and participates in such strategies that impact communication with the physician community.
  
  

Qualifications

• Required Associate's Degree related field
• Preferred Bachelor's Degree related field
• 2 years of relevant experience with persons requiring long-term acute care, sub-acute care, long-term care, neuro and rehabilitative services Required
• Relevant experience working with insurance companies and government payers Required
• LIC-Registered Nurse (RN) - STATE_MI State of Michigan required Or
  
  

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status
  
  

Primary Location

SITE - Commons Building - 21400 Archwood Circle - Farmington Hills

Department Name

Nursing Administration - Farmington Hills Skilled

Employment Type

Part time

Shift

Weekend (United States of America)

Weekly Scheduled Hours

20

Hours of Work

Variable

Days Worked

Variable

Weekend Frequency

Every weekend

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.