Transitional Care Coordinator

Summary Of Essential Functions

The Transitional Care Coordinator (TCC) is a clinical team member of the sales team responsible for facilitating a seamless transition for patients discharging from a facility setting to one that facilitates post-acute needs. This involves assessing patients for health literacy, identifying patient and caregiver needs, coordinating with referral sources and discharge providers to obtain necessary documentation, and ensuring patients and families are included in care planning. After the transition, the TCC works with the Agency to implement patient-centric plans to optimize outcomes.

Qualifications

• A minimum of one (1) year experience in a health care organization, home care, or hospice is preferred.
• Required certifications include LVN, RN, PT, PTA, or COTA.
• CPR certified with either the American Heart Association or American Red Cross.
• Excellent written, verbal, and listening communication skills.
• Ability to manage conflict, stress, and multiple work demands effectively.
• Strong organizational skills, including time management and problem-solving.
• Sound understanding of customer and market dynamics, as well as transitional care best practices.
• Experience with state, CMS, or accreditation survey processes.
• Good customer relations skills and a commitment to providing quality service.
• Familiarity with healthcare laws, regulations, and accreditation standards.
• Proficiency with computers, Microsoft Office, and EMR databases.
• Ability to work with culturally diverse clients and address low-literacy issues in care provision.
• Acceptance and demonstration of Agency's core values and goals.
• Valid driver’s license, automobile liability insurance, and reliable transportation.
• Approximately 75%-100% travel required.

Educational Requirements

• A high school diploma or GED.
• An associate’s or bachelor’s degree in nursing or allied health is preferred.