Senior Transitional Care Coordinator

5 days ago


New York, New York, United States VNS Health Full time
Job Summary

As a Senior Transitional Care Assistant at VNS Health, you will play a critical role in empowering clients with the knowledge and tools they need for seamless transitions of care. You will serve as a navigator, educator, and advocate, working closely with the care team to monitor and track client progress, prepare detailed documentation, and facilitate case record reviews and case conferences.

Key Responsibilities
  • Understand and discuss client-defined healthcare and functional goals and anticipated post-discharge care needs to ensure a smooth transition home or to other level of care setting.
  • Work closely with the care team to monitor and track client progress, preparing detailed, accurate, and timely documentation.
  • Facilitate periodic case record reviews and case conferences with the care team for assigned clients.
  • Establish and promote an ongoing collaborative relationship with direct caregivers, hospital administration, physicians, nurses, discharge planners, case managers, social workers, unit clerks, homecare agencies, and other facility personnel.
  • Document all interaction with the interdisciplinary team in the EMR.
  • Follow up with clients and maintain expected timeframes as per workflow.
Qualifications
  • Associate's degree in human services or a related field or the equivalent work experience, required.
  • Bachelor's degree in a human services or related field, preferred.
  • Minimum of two years of customer service experience in the medical field (i.e., hospital, long-term care, home care, medical office), required.
  • Ability to adapt to change and work in a team-based environment, required.
About VNS Health

The future of care begins with you. Together, we will revolutionize health care in the home and community. When you join VNS Health, you become a part of something bigger. For generations, we've been a recognized leader and innovator in patient-centered and community-focused health care. At VNS Health, you'll have the opportunity to meaningfully impact lives. Including yours.



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