LNA | Care Transition Specialist | Bedford | 20-23

LNA Care Transition Specialist Bedford $20-$23

Position Overview

The Care Transition Specialist plays a critical role in ensuring seamless initiation of services for newly admitted clients by providing immediate coverage during the transition period prior to assignment of a permanent caregiver. This position supports timely admissions continuity of care and a high-quality client experience by stabilizing new cases while permanent caregivers complete onboarding and orientation requirements.

As the first caregiver assigned to a new client the Care Transition Specialist establishes rapport with clients and families implements the initial care plan observes and reports client needs and communicates relevant updates to the clinical and operations teams. The specialist serves as a key liaison during the early stage of service delivery helping identify adjustments needed to promote long-term success and caregiver matching.

The Care Transition Specialist also facilitates a structured and professional handoff to the permanent caregiver ensuring continuity clear communication and a smooth transition of care. This role operates under the direction and supervision of the Clinical Director and the VP of Operations and directly supports agency growth client retention and service reliability by preventing delays in care initiation and reducing admission-related service gaps.

Educational and Professional

High School Diploma or GED
Successful completion of any required training programs that meet State and agency regulations
Show evidence of fulfilling the State health requirements
Valid drivers license and reliable transportation
Must be 18 years or older
Successfully complete 12 in-services by December 1 of current year
6 hours initial Dementia Training and 4 hours yearly continuing education
Prior experience in home care is required
LNA certification is preferred but not required

Knowledge and Abilities

Knowledgeable in-home care rules and regulations
Adhere to all HIPAA rules and confidentiality requirements related to client information
Good oral written and reading communication skills
Ability to understand verbal and written instructions
Ability to read and write documentation accurately
Resourcefulness flexibility and integrity
Ability to work independently
Ability to function in a team-oriented environment
Ability to make meaningful observations and write brief and accurate reports when necessary

Responsibilities

Review Plan of Care prior to first shift
Establish rapport with client and family
Maintain flexibility during onboarding period
Participate in transition planning
Provide structured handoff to permanent caregiver
Assist client with personal hygiene (bathing shampooing shaving oral hygiene)
Assist with dressing ambulation toileting and safe transfer techniques per Plan of Care
Prompt client with self-administered medications per care plan
Assist with physician-ordered treatments/therapies as approved and supervised by RN
Carry out assignments per the clients care plan
Notify scheduling and Clinical Director if unable to complete assigned care
Plan and prepare nutritious meals or modified diets as prescribed
Assist with activities of daily living (ADLs) as directed
Perform routine housekeeping to maintain a safe and comfortable environment
Accompany client to authorized appointments when approved by the office
Report changes in client condition or home situation immediately
Maintain accurate documentation through the mobile app
Follow EVV compliance procedures
Respect client cultural and religious practices
Maintain a neat clean orderly appearance in accordance with the Dress Code Policy
Conduct oneself in a manner that promotes client safety
Perform additional duties as directed by the Director of Client Services Administrator or designee
Provide a client overview to the permanent caregiver during transition
Communicate client preferences and observations
Participate in overlap shifts when possible to support care continuity

Tools / Equipment

Hoyer Lift
Glucose monitors or meters (Glucometers)
Gait Belt
Therapeutic ice packs or pillows Ice caps; Ice collars
Sharps disposal
Walker
Wheelchair
Cane
Tub seat
Transfer/slide board

Physical Demands

Lifting carrying pushing or pulling up to 50 pounds
Patient transfers with no assistance for direct patient care
Standing walking stair climbing stooping kneeling and crouching while administering patient care in the home
Reaching and handling
Adequate eyesight for reading writing driving and performing tasks

Aptitudes

Ability to understand verbal and written instructions
Ability to read and write documentation in the patient record
Ability to work with hands and fingers to manipulate large and small objects

Dedication

We are committed to embodying the essence of exceptional care and hospitality ensuring that both our staff and clients experience the utmost respect and attention to detail in every interaction. This includes:

Cultivating enduring relationships built on mutual respect
Establishing trust with our clients through exemplary conduct
Creating an environment where clients feel embraced and valued
Delivering unparalleled service quality
Interacting with every client in a manner that honors their dignity and worth
Prioritizing communication from any team member seeking assistance for a client.