Transitional Care Coordinator

Job Description

Job Description

POSITION INFORMATION

Job Title: Transitional Care Coordinator

Department: Value Based Care

Reports to: Manager, Care Management and Coordination

POSITION SUMMARY

The Transitional Care Coordinator (TCC) will be responsible for the planning, organizing, implementing, and coordinating activities contributing to the nursing process to provide a team-based, patient-centered approach. This role will work collaboratively with physicians and the care team to promote health services that are appropriate, safe, and efficient. Strong organizational and positive relationship-building skills are essential for this position.

ESSENTIAL JOB FUNCTIONS AND ACCOUNTABILITIES

• Supports the patient’s transition from Emergency Department (ED) discharge to primary care services or ambulatory specialists as appropriate.
• Contributes to a focused health, self-management, socio-economic, behavioral, and risk status assessment with patients. Supports treatment adherence.
• Communicates with agencies and community service providers, identifies available community and health resources, and helps the patient and family access needed care and services.
• Maintains a professional, collaborative, and productive relationship with providers and the care team.
• Participates in quality improvement projects as needed and implements quality improvement initiatives.
• Promotes effective collaboration amongst care team members, including the patient and family. Identifies and builds upon the assets and strengths of all members of the care team.
• Effectively utilizes all tools available to support care coordination. Maintains a high level of proficiency with tools within EMRs and other applications intended to support patient care.
• Works with a team of health care professionals and will require the flexibility to shift responsibilities as necessary.
• Participates in program, department, and clinic team meetings as indicated.
• Other duties as assigned.

REQUIRED QUALIFICATIONS

• Education : Graduate of an accredited LPN program
• License and/or Certification:
  • Current unencumbered Ohio Practical Nursing Licensure
  • BLS Certification
• Skills :
  • Excellent interpersonal, written, and verbal communication skills
  • Demonstrated ability to work collaboratively.
  • Ability to meet deadlines, prioritize, and organize time.
• Years of Experience : 2+ years of applicable experience

PREFERRED QUALIFICATIONS

• Education : RN or RN BSN preferred
• License and/or Certification:

• Current unencumbered Ohio Registered Nursing Licensure

• Skills :
  • Care coordination experience preferred.
  • Experience with quality improvement processes preferred.
• Years of Experience : 5+ years of applicable experience

WORKING CONDITIONS

• Works in a professional office/ambulatory clinic environment with possible moderate to high stress levels.
• Work requires occasional travel within and to UTP and UTMC locations, and UT campuses. Primarily inside well-lighted, well-ventilated areas.

GENERAL REQUIREMENTS

• Works in a safety- conscious manner that supports and ensures safe work practices.
• Complies with all UTP and other applicable UT policies and procedures and local, state, and federal regulations.
• Interacts in a tactful, diplomatic, and humanistic manner with patients, visitors, and co-workers to provide a patient-centric environment.

The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics.

Equal Opportunity Employer/ Drug-Free Workplace