Skilled Nursing Transitions Coordinator

2 weeks ago


Brockton, Massachusetts, United States Harbor Health Services Full time
Job Title: Skilled Nursing Transitions Coordinator

Harbor Health Services is seeking a highly skilled Skilled Nursing Transitions Coordinator to join our team at the Elder Service Plan in Brockton. As a key member of our Interdisciplinary Team, you will play a critical role in facilitating the progression of care for our participants in short-term rehabilitative, skilled nursing, and long-term acute care facilities.

Key Responsibilities:
  • Collaborate with the Interdisciplinary Team to ensure efficient and high-quality rehabilitative and skilled nursing care.
  • Utilize clinical skills to perform prospective, concurrent, and retrospective utilization management-related reviews.
  • Communicate effectively with participants, family/caregivers, and healthcare providers to ensure seamless transitions.
  • Develop and maintain relationships with skilled nursing facilities to ensure optimal care and timely discharges.
  • Monitor and authorize length of stay for participants in skilled nursing facilities.
  • Ensure comprehensive Electronic Health Records (EHRs) for all participants.
  • Support participants in overcoming barriers to discharge, including housing, functional needs, and caregiver support.
Requirements:
  • Associate in Nursing (ADN) required, BSN preferred.
  • Current, valid, and unrestricted Registered Nurse (R.N.) license or other valid MA license as indicated in substitutions.
  • 2 years of experience in a Skilled Nursing Facility as Staff Nurse, Nurse Case Manager, Nurse Discharge Planner, or Clinical Manager.
  • 2 years of experience working in geriatric care.
  • Experience with hospital discharge and/or home care experience preferred.
  • Proficient in Microsoft Office 365 skills, including Word, Excel, Outlook, and Teams, database use, Nursing Home Electronic Health Records, and data entry.

Harbor Health Services offers a comprehensive benefits package, including health, dental, vision, life, and disability insurance, a 403b Savings Plan, generous paid time off, and 11 additional holidays. We are an equal opportunity employer and welcome applications from diverse candidates.



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