About this opportunity
Center for People with Disabilities lists this Nursing Home Transition Coordinator opportunity in boulder, Colorado. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Nursing Home Transition Coordinator
The Transition Coordinator is responsible for assisting individuals with disabilities to transition out of long-term care facilities into living in the community with supports and services. The Transition Coordinator will be responsible for guiding consumers seamlessly through the transition process, providing support throughout and conducting follow-ups afterward to ensure optimal access to services. The scope of transition services includes assessing not only medical/health needs but also the consumer's community living and social needs such as assisting with finding housing; setting up non-medical transportation; helping the individual integrate into the community through clubs, volunteering/work, faith organizations, etc. Will serve as a role model and mentor for people with disabilities within the community, and maintain positive and effective relationships with CPWD staff and partner agencies.
Essential duties and responsibilities include providing one-on-one direct services to consumers, including the core services of Independent Living Skill Training, peer support, advocacy, and information & referral services. Maintain 60% of work time providing direct services and support to consumers. Act as an advocate for and with consumers. Actively work with at least 5 consumers at different stages of the pre-transition process. Actively work with at least 5 consumers who have transitioned and are receiving post-transition support. Facilitate Transitions team meetings between the consumer, nursing facility staff, and other community partners. Complete a transition assessment, transition plan and risk mitigation plan with the transition options team and continue to review during the transition. Actively collaborate and communicate with physicians, social workers and service providers regarding discharge planning, appropriate follow up, and post-transition services for consumers. Coordinate community living services, housing, durable medical equipment, and purchase household items for those transitioning out of nursing homes through the Transitions program. Complete all state-mandated Transition Coordinator trainings and attend ongoing trainings. Participate in community outreach, including public speaking to groups, to promote the Nursing Home Transitions program and other CPWD programs. Work independently, schedule and manage personal workload, and recognize when there is a need for approval or support from supervisor. Maintain accurate and timely records required by CPWD, including Consumer Service Records, Medicaid databases documentation, and documentation of billable hours for services rendered. Must comply with policies, procedures and regulations from CPWD and funding sources related to use of company credit card, purchasing, purchase requests, and promptly submitting receipts. Must complete all Medicaid Transition Coordination trainings within agreed timeline and keep up with required annual trainings. Maintain strict confidentiality and work within the confines of HIPAA regulations. All CPWD staff members are considered mandatory reporters, obligated to report signs of abuse they are aware of both on and off the job. Must be able to travel as needed for direct services, groups, meetings, trainings, and outreach events. Participate in CPWD staff meetings, program meetings, and staff trainings. Perform other duties, as assigned.
Required qualifications include a bachelor's degree in a relevant field or 5 years of relevant equivalent experience. Proficiency with MS Windows, MS Office, Google Suite, and other common computer programs. Must maintain current COVID vaccine status and practice precautionary measures as defined by regulatory authorities governing the program and provide vaccine documentation to HR. Strong organizational and customer service skills, and attention to detail. Leadership and interpersonal skills with diverse peers, consumer base, other staff members and management. Able to work independently, making solid decisions and exercising sound judgment with consumer and community contacts. Able to manage multiple priorities. Commitment to co-creating a culture that fosters diversity, equity, and inclusion. Able to demonstrate commitment to CPWD's non-discrimination policy DEI Statement. Able to demonstrate CPWD's core values of inclusiveness, flexibility, person-first, accountability, and integrity. Working knowledge of disabilities and disability-oriented issues. Able to positively represent CPWD and outreach to the community and public. Effective written and oral communications skills. Valid driver's license, insurance, and clean driving record (if applicable). Satisfactory backgrounds checks.
Preferred qualifications include personal experience with disability is strongly preferred! Bachelor's degree strongly preferred. Exposure to Independent Living Philosophy and best practices in the IL community. Knowledge of available community resources, food assistance, housing options, Medicaid, Medicare, and Social Security programs. Care coordination experience working with consumers who have complex medical needs, the elderly, individuals with disabilities, and/or those who may have communication barriers. Ability to lift/move up to 30 pounds, as needed.
Physical/environmental requirements include office environment requiring ongoing computer use and an extended amount of time sitting or standing. Primarily based out of Boulder CPWD office location. May be asked to work out of any CPWD office, as needed. Local and regional travel in various weather conditions.
Worksite address
boulder, CO, 80301, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.