Transitions Coordinator
Job Location:
Job Location:
Ypsilanti, MI - USA
Yearly Salary:
USD 60000 - 70000
Yearly Salary:
Posted on:
23 hours ago
Posted on:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Schedule: Full time exempt minimum 40 hours per week Monday - Friday 8:00 am - 4:30 pm
Department: Direct Care Huron Valley PACE Ypsilanti MI
What Youll Do In This Role:
The Transitions Coordinator is a vital advocate for participants ensuring every transition in care is smooth safe and seamless. Working closely with hospitals rehabilitation centers long-term care facilities participants families and the Interdisciplinary Team (IDT) this role coordinates every step of the care journey to promote exceptional outcomes. From admissions and discharges to ongoing care transitions the Transitions Coordinator champions continuity of care proactively addresses participant needs and helps eliminate gaps in services.
Department: Direct Care Huron Valley PACE Ypsilanti MI
What Youll Do In This Role:
The Transitions Coordinator is a vital advocate for participants ensuring every transition in care is smooth safe and seamless. Working closely with hospitals rehabilitation centers long-term care facilities participants families and the Interdisciplinary Team (IDT) this role coordinates every step of the care journey to promote exceptional outcomes. From admissions and discharges to ongoing care transitions the Transitions Coordinator champions continuity of care proactively addresses participant needs and helps eliminate gaps in services.
Key Responsibilities
Care Transition Coordination
- Coordinates participant care as they move between hospitals nursing facilities rehabilitation centers and home.
- Shares important participant information with healthcare providers and facilities to ensure smooth transitions and continuity of care.
- Works with the Interdisciplinary Team (IDT) physicians and facility staff to plan safe and effective discharges.
Participant Care and Support
- Visits participants in hospitals nursing facilities and homes to assess needs and provide support.
- Participates in hospital and nursing facility rounds to monitor participant health and progress.
- Monitors services provided in contracted facilities to ensure participants receive quality care.
Team Collaboration and Communication
- Maintains regular communication with hospitals nursing facilities healthcare providers and the IDT regarding participant care.
- Shares updates on participant status and discharge plans with team members.
Quality and Compliance
- Reviews services and healthcare utilization to ensure participants receive appropriate care.
- Participates in quality improvement activities related to care transitions and participant outcomes.
- Maintains current knowledge of healthcare regulations processes and best practices.
Documentation and Record keeping
- Accurately documents participant care and coordination activities in the electronic medical record (EMR).
- Completes required transition of care notes in a timely manner.
- Complies with all organizational policies and applicable federal and state regulations.
Additional Responsibilities
- Travels regularly between PACE centers participant homes hospitals skilled nursing facilities and other locations throughout the service area.
- Performs other duties and responsibilities as assigned within the scope of practice and role.
The above is a summary of the position it in no way states or implies that these are the only duties this position will be required to perform. If selected for the position you will receive a full job description.
Skills Knowledge & Expertise
- Bachelors Degree in Social Work or Nursing preferred.
- Minimum of 1 year experience working with the frail elderly population.
- Experience in case management care coordination hospital discharge planning home health skilled nursing long-term care or PACE strongly desired.
- Excellent verbal and written communication skills with the ability to effectively collaborate with participants families healthcare providers and community partners.
- Position requires the ability to lift and move objects weighting up to 35 pounds without assistance.
- Valid Michigan drivers license reliable transportation and proof of automobile insurance.
- CPR certification or willing to obtain within 6 months of employment
Job Benefits
- Generous 6 weeks of Flexible time off per yearplus paid holidays on top of that.
- Competitive Benefits for Full-Time Team Members Enjoy Medical Vision & Dental Insurance starting on the 1st of the month after 30 days of hire.
- Retirement Savings Plan Secure your future with employer contributions.
- Daily Pay Instantly transfer your daily earnings.
- Team Member Referral Bonus Program Earn $500 when you bring great people to our team!
- Career Growth & Development Advance your career with tuition assistance and school scholarships up to $3000 per semester.
- Wellness Program & Reimbursement Prioritize your health and well-being reimbursed 120 a year!
- Mileage Reimbursement Offered for work-related travel.
ACCESSIBILITY SUPPORT
Brio Living Services is committed to offering reasonable accommodation to job applicants with disabilities. If you need assistance or an accommodation due to disability please contact us at
BRIO LIVING SERVICES IS AN EQUAL OPPORTUNITY EMPLOYER
Brio Living Services provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race color religion gender sexual orientation national origin age disability or genetics in accordance with applicable federal state and local laws.
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Required Experience:
IC
