Nursing Home Transition (NHT) Service Coordinator/Human Services

Alleghenies United Cerebral Palsy; Philadelphia (Philadelphia County); Hybrid; USD 24,000 - 34,000; Full time

Benefits offered by this job

Starting hourly rate $21/hr

Flexible schedule

Tuition reimbursement after 1 year

Paid training

Job summary

Alleghenies United Cerebral Palsy is hiring an NHT Coordinator to help individuals transition from nursing facilities to community living. You will work with participants, families, healthcare providers, and agencies to ensure services are in place before, during, and after discharge.

The role emphasizes adherence to program requirements, timely documentation, and ongoing participant support. AUCP offers on-the-job training and mentorship for career growth in human services.

Qualifications

• Associate's or Bachelor's degree in Social Work, Human Services, Nursing, Psychology, Sociology, or related field.
• Bachelor's degree strongly preferred.
• Recent college graduates encouraged to apply.
• Experience in care coordination or human services preferred but not required for entry-level candidates.

Responsibilities

• Serve as the primary contact for nursing home residents transitioning into community living.
• Coordinate transition plans with participants, families, healthcare teams, housing providers, and community agencies.
• Arrange housing and essential support services to ensure successful discharge.
• Monitor participant progress and maintain accurate documentation per regulatory standards.
• Support outreach, quality assurance, mentorship and regional travel as needed.

Skills

Assessment skills

Planning

Documentation

Teamwork

Communication

Disability experience

Education

Associate's or Bachelor's degree in Social Work, Human Services, Nursing, Psychology, Sociology, or related field

Job description

Launch Your Career - Not Just Another Job

Do you have a 2-year degree and want real-world experience that actually builds your future?

Are you looking for genuine work/life balance instead of burnout?

Would tuition reimbursement after just 1 year of employment help you reach your goals?

How does a true Monday–Friday schedule with 15 Agency Paid Days Off (including 11 holidays 4 Self care days) off sound?

Work Location

Hybrid/Remote Position with the requirement to complete visits in the community throughout Pennsylvania. Candidates must live in one of the following counties to complete home visits Philadelphia, Delaware, Montgomery, Chester and Bucks County.

Work Environment Requirements

This is a hybrid position requiring both in-office and remote work. When working remotely, employees must maintain reliable high-speed internet access to ensure consistent connectivity for meetings, systems, and communication. Failure to maintain adequate internet service may impact the ability to perform essential job functions.

We also discuss outside employment with new hires early in the hiring process to identify and prevent any potential conflicts of interest and ensure expectations are clear upon acceptance of employment.

Position Summary

The Nursing Home Transition (NHT) Coordinator plays a vital role in helping individuals safely and successfully transition from nursing facilities back to community-based living. This position works closely with participants, families, service coordinators, healthcare providers, and external agencies to ensure services and support are in place before, during, and after discharge.

The NHT Coordinator is responsible for adhering to all program requirements, maintaining timely and accurate documentation, and providing consistent participant support throughout the transition process.

AUCP welcomes both experienced professionals and recent college graduates who are passionate about helping others and building a career in human services. We provide comprehensive on-the-job training and mentorship to support employees as they develop the skills needed to succeed in this role.

Education & Experience

• Associate's or Bachelor's degree in Social Work, Human Services, Nursing, Psychology, Sociology, or a related field required (Bachelor's degree strongly preferred).
• Recent college graduates are encouraged to apply.
• Previous experience in care coordination, case management, healthcare, or human services is preferred but not required for entry-level candidates.
• Knowledge of Medicaid Waiver programs, Long-Term Services and Supports (LTSS), and Home and Community-Based Services (HCBS) is a plus.

What AUCP Offers YOU

• Starting Hourly Rate: $21/hour, with opportunities for performance-based increases
• Flexible Schedule
• No On-Call Requirements
• 15 Agency Paid Days Off (including 11 holidays)
• 18 PTO Days
• Paid Training Period
• Mileage Reimbursement
• Comprehensive On-the-Job Training and Mentorship
• Tuition Reimbursement Opportunities
  • Employees become eligible for tuition reimbursement after one year of employment to support continued education and professional growth
• Medical Insurance
• Company Paid Dental Insurance
• Company Paid Vision Insurance
• Company-paid life insurance with the option to add additional coverage for you and your family
• Up to 5% Match for 401(k)

Key Responsibilities

• Serve as the primary contact for nursing home residents transitioning into community-based living through the NHT program
• Coordinate transition plans with participants, families, healthcare teams, housing providers, and community agencies
• Arrange housing and essential support services to ensure successful discharge and community reintegration
• Monitor participant progress and maintain accurate documentation in compliance with all regulatory and organizational standards
• Support outreach, quality assurance initiatives, mentorship activities, and regional travel as needed

Skills & Knowledge

• Experience working with individuals with disabilities or special needs preferred
• Strong skills in assessment, planning, and participant-centered service delivery
• Excellent organizational, communication, and documentation skills
• Ability to work effectively as part of an interdisciplinary team
• Familiarity with community support systems, housing resources, healthcare, and human services
• Willingness to learn and grow within the organization

Work Environment

• Frequent exposure to outdoor elements and varying weather conditions
• Occasional driving in poor weather conditions may be required
• Noise levels are typically minimal to moderate

Employment is contingent on the successful completion of the following clearances

• PA State Police Background Check (e-PATCH)
• Child Abuse Clearance
• FBI Background Check
• MA Fraud Check
• Social Security Verification
• DMV Check