Transition Coordinator

CT Community Care; Bristol (CT); Hybrid; USD 42,000 - 62,000; Full time

Job summary

CT Community Care helps people live their best lives at home with active community connections. This role provides information and outreach for the MFP program, facilitates transitions, and handles all related data entry and reporting.

It establishes relationships with consumers, families, facility staff, DSS social workers, and community providers, conducts initial interviews, and supports transition plans with 365-day follow-up and record maintenance.

Qualifications

• Bachelor’s Degree preferred in Human Services or related field.
• High School Diploma or equivalent required or preferred with related experience.
• Thorough knowledge of community resources.
• Ability to work as part of a team and communicate effectively.

Responsibilities

• Provides information and outreach for the MFP program and handles related data entry and reporting.
• Establishes relationships with consumers, families, facility staff, DSS workers, and community providers.
• Acts as liaison between providers, DSS, and the State transition program.
• Conducts initial interview and completes intake for skilled nursing facility residents.
• Assists in development and implementation of transition plans and follows up for 365 days.

Skills

Communication

Teamwork

Adaptability

Flexibility

Education

Bachelor's Degree in Human Services or related field

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Description

Mission

Connecticut Community Care helps people of all ages, abilities, ethnicities and incomes live their best lives at home with active and meaningful connections to their communities.

Summary

• Provides information and outreach support for consumers on the MFP program. Facilitates the transition of eligible individuals and performs all related data entry and reporting. All responsibilities are performed in a manner that supports and advances Connecticut Community Care’s mission and commitment to quality, collaboration, and community leadership.
• Establishes relationships with consumers and their families, facility workers, local community providers, local Department of Social Services (DSS) social workers and other organizations
• Serves as liaison between providers, DSS social workers, other community-based organizations and the State of Connecticut’s transition program.
• Establishes relationships with key staff within skilled nursing facilities who may assist with the identification of individuals who are interested in transitioning.
• Conducts initial interview process and completes intake guide with persons in skilled nursing facilities.
• Assists each consumer with the development and implementation of a transition plan
• Follows up with consumer for 365 days after their transition.
• Completes and submits applications to DSS for Medicaid, food stamps and/or cash assistance.
• Advocates on behalf of the consumer as necessary.
• Coordinates plans and make referrals to appropriate community resources.
• Maintains and keeps current and accurate consumer records
• Completes applications for MFP accessibility modification funds on behalf of consumer.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Requirements

Education:

High School Diploma or equivalent; Bachelor’s Degree in Human Service or related field preferred

Experience:

For attained Bachelor’s Degree, at least one year experience in a human service setting

For attained High School Diploma/equivalent, at least 2 years in a human service setting.

Thorough knowledge of community resources.

Ability to work as part of a team and communicate effectively with consumers, families, providers, and other staff.

Flexibility with the ability to prioritize and move from task to task in a dynamic, fast-paced work environment.

Working knowledge of Microsoft Office products.

Environment

Work is performed in various environments including offices, apartment buildings, hospitals, and other locations. Employees may be exposed to adverse driving conditions and are to use caution when making decisions.

Other:

Reliable transportation, valid driver’s license, and current automobile insurance.

Work Environment and Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to perform these functions.

While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 35 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate

The company is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable