CCT Transition Coordinator
2 weeks ago
Libertana Home Health is seeking a highly skilled and compassionate CCT Transition Coordinator to join our team. As a key member of our care coordination team, you will play a vital role in ensuring a smooth transition for our clients from skilled nursing facilities to their new homes.
Job Summary:The CCT Transition Coordinator will be responsible for coordinating the transition process, including identifying and interviewing residents, gathering documentation, and preparing care plans. You will work closely with our clients, their families, and healthcare providers to ensure a seamless transition and provide ongoing support to our clients in their new homes.
Key Responsibilities:- Assist clients with housing and transition coordination
- Follow up with SNF case managers, discharge planners, and representatives to establish working relationships and educate them about the CCT program
- Identify and interview residents for pre-screening and isolate client needs
- Perform phone calls to clients/SNFs at least 1 month prior to discharge to gather documentation and start identifying possible RCFE placements
- Coordinate agency RN visits to assess resident and to help prepare Initial Care Plan (ICP)
- Complete the Initial Care Plan (ICP) and submit to DHCS for review
- Prepare and submit 20-hour TAR with appropriate attachments. Prepare and submit the 100 TAR
- Work on housing and other needs of the resident. Coordinate DME and assistive devices with SNF and DME Company
- Maintain contact with SNF's and residents while working on the resident's care plan and other needs
- Apply for appropriate waiver based on the resident's needs (ALW/NF/IHSS)
- Work on Final Care Plan (FCP), obtains physician signature, and attaches to PTC TAR
- Obtain transition plan signatures on date of transition and attach to PTC TAR
- Help resident transition back into the community as outlined in ICP
- Assure continuance of PTC to provide case management to be followed for the first year at home
- Presents all time keeping to billing department weekly
- Knowledge of confidentiality, HIPAA and healthcare laws and regulations
- Maintain proper timekeeping
- Maintain all required credentials up-to-date
- Reports fraud and abuse
- Knowledge of mandated reporting
- Conducts timely recording and/or documentation of all client contact
- Attends all state mandated in-service trainings
- A significant amount of driving may be required in and around the Los Angeles, San Diego, Riverside and San Bernardino Counties
- Performs other duties as assigned
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and compassionate individual who is passionate about providing exceptional care to our clients, we encourage you to apply for this exciting opportunity.
-
CCT Transition Coordinator
2 weeks ago
Los Angeles, California, United States Libertana Full timeJob Title: CCT Transition CoordinatorLibertana Home Health is seeking a highly skilled CCT Transition Coordinator to join our team. As a key member of our healthcare team, you will be responsible for coordinating the transition of residents from skilled nursing facilities to community-based care settings.Key Responsibilities:Assist clients with housing and...
-
CCT Transition Coordinator
4 days ago
Los Angeles, California, United States Libertana Full timeJob SummaryThe CCT Transition Coordinator is responsible for coordinating the transition of residents from skilled nursing facilities (SNFs) to community-based care settings. This role requires strong communication and organizational skills to ensure a smooth transition process for residents and their families.Key ResponsibilitiesAssist clients with housing...
-
CCT Program Coordinator
2 weeks ago
Los Angeles, California, United States Libertana Home Care Full timeJob SummaryWe are seeking a highly skilled and organized CCT Transition Coordinator to join our team at Libertana Home Health. The successful candidate will be responsible for coordinating the transition of SNF residents to community-based care, working closely with state agencies, healthcare providers, and community organizations.Key ResponsibilitiesOversee...
-
Care Transition Coordinator
3 weeks ago
Los Angeles, California, United States MLK Community Healthcare Full timeExciting Opportunity for a Transition Care ManagerWe are seeking a dedicated Transition Care Manager to coordinate care and ensure a smooth discharge process for our patients. As a key member of our team, you will play a vital role in guiding patients through their post-acute care transition.Key Responsibilities:Assist patients as a trusted advocate and...
-
Discharge Transition Coordinator
4 days ago
Los Angeles, California, United States Martin Luther King Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled Discharge Planner to join our team at Martin Luther King Jr. Community Hospital. The successful candidate will be responsible for managing the discharge/transition process by working closely with patients and their families, and coordinating care with the multidisciplinary team.Key ResponsibilitiesAssist patients through...
-
Senior Inpatient Transition of Care Coordinator
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob Title: Senior Inpatient Transition of Care CoordinatorMedPOINT Management is seeking a highly skilled Senior Inpatient Transition of Care Coordinator to join our team. As a key member of our healthcare team, you will play a critical role in ensuring seamless transitions of care for our patients.Job SummaryThe Senior Inpatient Transition of Care...
-
Los Angeles, California, United States MedPOINT Management Full timeJob SummaryMedPOINT Management seeks a skilled Inpatient Transition of Care Coordinator to assist with the transition of patients from acute care settings to home. The successful candidate will ensure seamless communication between healthcare providers, coordinate post-discharge appointments, and facilitate the exchange of medical records.Key...
-
Resident Coordinator
1 week ago
Los Angeles, California, United States SAFE PLACE FOR YOUTH Full timeAbout the RoleAs a key member of the Safe Place for Youth team, the Resident Coordinator will provide essential services and support to transitional age youth (TAY) living in our Podshare Housing program. This role is responsible for monitoring site safety and youth services, building rapport with youth, and providing advocacy, coordination, and crisis...
-
Transitional Housing Coordinator
1 week ago
Los Angeles, California, United States New Directions for Veterans Full timeJob SummaryWe are seeking a highly motivated and compassionate Transitional Housing Assistant to join our team at New Directions for Veterans. As a key member of our staff, you will play a vital role in supporting the recovery and well-being of our veteran residents.Key ResponsibilitiesProvide a calm and supportive environment for residents, promoting a...
-
Transitional Housing Coordinator
2 weeks ago
Los Angeles, California, United States New Directions for Veterans Full timeJob SummaryWe are seeking a highly motivated and compassionate Transitional Housing Assistant to join our team at New Directions for Veterans. In this role, you will play a vital part in supporting our mission to improve the lives of veterans.Key ResponsibilitiesPromote a positive and supportive environment within our facility and with our...
-
Care Transition Associate
5 days ago
Los Angeles, California, United States Providence Health & Service Full timeJob SummaryProvidence Health & Services is seeking a Care Transition Associate to support care coordination within acute care hospital hubs. This role involves performing a variety of patient-centered administrative tasks to ensure seamless transitions for patients requiring post-acute care.Key ResponsibilitiesSupport patients and families with discharge...
-
Automated Transit System Project Manager
4 weeks ago
Los Angeles, California, United States Lea+Elliott, Inc. Full timeJob Title: Automated Transit System Project Manager/DirectorWe are seeking an experienced Project Manager to lead our team in the implementation of the Inglewood Transit Connector (ITC) Project, a 1.6-mile, three-station, fully automated transit system connecting the Metro K Line with Inglewood activity centers.Job Summary:The Project Manager will oversee...
-
Case Manager
1 week ago
Los Angeles, California, United States The Salvation Army Full timeJob SummaryThe Salvation Army is seeking a skilled Case Manager to join our team in providing support services to transitional aged youth experiencing homelessness. As a Case Manager, you will be responsible for providing individualized case management, advocacy, and referral services to help participants achieve self-sufficiency and transition to permanent...
-
Project Manager, Transit Safety Expert
1 week ago
Los Angeles, California, United States Gannett Fleming Full timeProject Manager, Transit SafetyAs a seasoned Project Manager, you will lead high-impact transportation and rail safety projects from inception to completion, ensuring compliance with regulatory frameworks and delivering impactful results.Key Responsibilities:Champion project opportunities with strategic evaluations, crafting compelling proposals and...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Transitional Care Services Community Health Worker II is a critical role at L.A. Care Health Plan, responsible for promoting the optimal health and well-being of our members through active engagement and support. As a Community Health Worker, you will help navigate and access health services for our members transitioning between care settings,...
-
Project Manager, Transit Safety Expert
1 month ago
Los Angeles, California, United States Gannett Fleming Full timeProject Manager, Transit SafetyWe are seeking a highly skilled Project Manager to lead our transit safety projects. As a key member of our Security & Safety team, you will be responsible for managing projects from inception to completion, ensuring safety compliance and delivering impactful results.ResponsibilitiesChampion project opportunities with strategic...
-
Transportation and Transit Security Project Manager
2 months ago
Los Angeles, California, United States Gannett Fleming Full timeJob Summary:Gannett Fleming is seeking a highly skilled Project Manager to lead transportation and transit security projects. As a key member of our Security & Safety team, you will be responsible for championing project opportunities, developing compelling proposals, and delivering persuasive client presentations.Key Responsibilities:Champion project...
-
Resident Coordinator
4 days ago
Los Angeles, California, United States SAFE PLACE FOR YOUTH Full timeAbout the RoleThe Resident Coordinator is a vital member of the Safe Place for Youth team, responsible for overseeing the daily operations of the Lighthouse Transitional Living Program in West Los Angeles. This program provides housing and comprehensive services to youth ages 18-24 who are experiencing housing instability.The Resident Coordinator will be...
-
Transportation EIT/Coordinator
2 weeks ago
Los Angeles, California, United States HDR Full timeJoin HDR as a Transportation EIT/CoordinatorAt HDR, we're committed to creating a workplace where every employee feels valued, respected, and empowered to bring their authentic selves to work every day. As a Transportation EIT/Coordinator, you'll play a critical role in supporting our Rail and Transit Project Managers and Engineers to develop track and civil...
-
Social Services Coordinator
1 week ago
Los Angeles, California, United States National Health Foundation Full timeJob SummaryThe Social Services Coordinator provides critical support to individuals transitioning out of acute care hospitals, ensuring a seamless transition to post-hospital care services. This role requires a professional with a strong background in healthcare delivery, hospital education, and social services.Key ResponsibilitiesComplete Needs Assessments...