Transitional Care Coordinator - Part Time - Bilingual

The Transitional Care Coordinator works with the Registered Nurse Case Manager to help coordinate and facilitate post-clinical care and treatment for patients. Working under general supervision, this role identifies and utilizes resources to assist with the transition, optimizing a care strategy for the patient.

Essential Job Function

• Advocates for patients, families, and the organization in order to ensure that the best care is provided, counseling is available, and cultural and religious beliefs are respected.
• Connects patients and families to community resources that will help with the patient's care to ensure a smooth transition period.
• Facilitates discharge and post-care for patients to create a pathway to health in the future, communicating details and dates of future appointments clearly.
• Creates and manages the template for the Transitional Care Clinic to allow for easy last minute changes if necessary.
• Tracks records to confirm that all data necessary for reports is quality and finding any potential gaps in data and applying corrections to said gaps.
• Provides counseling to patients and families to ensure the proper support based on the transition plan is provided and resources are available as necessary.
• Performs other duties as assigned.

• Required:
  
  Bachelor's in Social Work, or Bachelor's in Psychology/Counseling

• Required:
  
  1-2 years healthcare related experience