Home
/
Comprehensive
/
Transition Planner
Transition Planner-March 2024
Grand Junction
Mar 28, 2026
About Transition Planner

  Job Description:Coordinates the care and services for patients identified asneeding assistance or meeting Care Management criteria.

  Shift Details: 8:00am - 4:30pm Monday through Friday with a smallweekend commitment of two weekends every six weeks.

  Coordinates the care and services for patients identified as needingassistance or meeting Care Management criteria. Collects in-depth informationabout a patient's medical, functional, and social condition, toidentify individual needs in order to develop a plan to meet those needs.Works with patients and family/caregivers to determine specific goals andactions based on assessment. Coordinates discharge planning. Executes specificinterventions to meet established goals. Organizes, integrates andcoordinates the necessary resources to accomplish the goals and plan.

  Assesses the patient's prior level of functioning, access to and/or useof community resources and available support systems. Assists the care team indeveloping a plan of care which includes, but is not limited to: assuringappropriateness of services and care setting, assuring individualizedsupport and education, determining the need for continued services,planning for discharge, and identifying and connecting patients/familieswith available community resources if needed. Collaborates with Physicians andother members of the health care team on the patient's behalf.

  Identifies appropriate admission and continued stay issues. Enhances thequality of patient care through effective and efficient use of resources.Helps to identify strategies for reducing length of stay and appropriateutilization of services. Utilizes criteria including clinical pathway data andimplements strategies to resolve controllable variances.

  Attends, facilitates and participates in rounds and case conferences.Advocates for patient rights. Monitors efficiency and availability of servicesand evaluates outcomes through variance tracking, data collection.

  Identifies needs, facilitates, or provides education to physicians andancillary departments/nursing units regarding case management, dischargeplanning process, and roles. Participates in multidisciplinary groups anddevelopment of guidelines.

  Education

  Required:

  Bachelor's Degree from an accredited school of Social Work, Sociology orrelated field is required.

  Minimum of one (1) year clinical experience is required.

  Preferred:

  Two (2) years of case management experience in hospital setting is preferred.

  To perform this job successfully, an individual must be able to perform eachessential duty satisfactorily. The requirements list must be representative ofthe knowledge, skills, minimum education, training, licensure,experience, and/or ability required. Reasonable accommodations may be madeto enable individuals with disabilities to perform the essential functions.

  Physical Requirements:

  Anticipated job posting close date:

  Location:St Marys Medical Center

  Work City:Grand Junction

  Work State:Colorado

  Scheduled Weekly Hours:40

  The hourly range for this position is listed below. Actual hourly ratedependent upon experience.$28.37 - $50.39

  We care about your well-being - mind, body, and spirit - which is why weprovide our caregivers a generous benefits package that covers a wide range ofprograms to foster a sustainable culture of wellness that encompasses livinghealthy, happy, secure, connected, and engaged.

  Learn more about our comprehensive benefits packages for our, and for our; and our commitment to.

  Intermountain Health is an equal opportunity employer. Qualified applicantswill receive consideration for employment without regard to race, color,religion, age, sex, sexual orientation, gender identity, nationalorigin, disability or protected veteran status.

  Our facilities do not discriminate against any person on the basis of race,color, national origin, disability, or a e in admission or access to,or treatment or employment in, its programs, services or activities, oron the basis of sex (gender) in health programs and activities

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Shift Lead
Job Description: Opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling, and ensuring the floor and stock room are ready for t
Senior Mechanical Fueling Engineer - Aviation & Federal (Honolulu)
Description Wishing you could have an ownership stake in the company you are working for? Founded in 1898, Burns & McDonnell is an award-winning engineering, architectural, construction, environm
Senior Electrical Sustaining Test Engineer
This job was posted by https://www.vermontjoblink.com : For moreinformation, please see: https://www.vermontjoblink.com/jobs/1117590Sustaining Test Engineering is seeking an onsite electrical enginee
Supplier Development Engineer
We're the global leader in providing energy solutions that help businesses grow and communities thrive. We work as a team and we’re proud of the difference we make to customers, to local communities,
ARPA H – Health and Life Science (HLS) Program Analyst - Mid
ARPA H – Health and Life Science (HLS) Program Analyst - Mid Amentum is looking for HLS industry personnel to expand our health technology development capabilities and offerings for the Advanced Rese
Store Customer Service Specialist
This is position is essential to the success of our retail stores. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about
Incenter Patient Care Technician
About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team mem
Solution Specialist VI
Job Description Overlay Sales Personnel providing specialist cloud migration expertise and cloud growth to the sales force. Responsibilities Partners with Account, Technology, and Application sales r
Assembler
Aerotek is hiring for assemblers in Syracuse, NY. Immediately interviwing and hiring. SUMMARY This position is responsible for assisting in the building and quality of Cryomech Base Tube Assemblies.J
SYSTEMS PROJECT CONSULTANT - 80080664
SYSTEMS PROJECT CONSULTANT - 80080664 Date: Jan 18, 2024 Location: TALLAHASSEE, FL, US, 32399 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (h
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved