Description
Serve as the primary bridge between patients, families, and healthcare providers, coordinating transitions of care, explaining services and policies, securing authorizations, and guiding admission and discharge decisions.
- • Explain admission criteria, coverage policies, and post-acute services to patients, families, and referral sources.
- • Coordinate communication among patients, families, physicians, case managers, payers, and partner facilities.
- • Triage patient or family inquiries and complaints related to transitions of care, route to appropriate staff, and ensure timely resolution.
- • Conduct preadmission screenings and interviews to identify clinical needs, goals, and barriers to discharge.
- • Match patients to the appropriate level of care and services, arrange referrals, and coordinate admission logistics.
- • Verify benefits, discuss financial responsibilities, and obtain payer authorizations for services.
- • Track and report referral volume, conversion rates, and outcomes; recommend process improvements.
- • Develop and distribute educational and outreach materials for patients, families, and referral partners.
- • Coordinate education for patients and caregivers on home services and durable medical equipment.
- • Advise teams on compliance, documentation, risk management, and quality measures affecting patient placement.
- • Stay current on regulations, payer rules, and best practices through literature review and professional development.
- • Maintain an up-to-date network of post-acute providers and community resources.
- • Provide training to clinical and administrative staff on referral workflows, patient rights, and service offerings.
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Healthcare & Human Services
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Tasks & skills:
O*NET occupational data (work activities, skills, knowledge).
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Last reviewed: Jan 2026
