Transition Specialist

Southern Tier Independence Center; City of Binghamton (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

Southern Tier Independence Center is seeking a Transition Specialist for its Open Doors program to assist individuals moving from institutions to community living across Broome, Tioga, and Chenango counties. You will develop discharge plans, educate on community services, and provide one-on-one advocacy to support independent living.

The role requires an Associate Degree or equivalent experience, experience with Long-Term Care, and strong skills in planning, communication, and collaboration with

Qualifications

• Associate degree or equivalent experience in health, human services or related field.
• Experience working within the Long-Term Care system.

Responsibilities

• Coordinate referrals and ensure the transition process is coordinated for each individual.
• Provide information and assistance for individuals and families transitioning from an institution to community living.
• Advocate for participant to develop a person-centered transition plan.
• Coordinate visits to institutions and homes for discharge planning and community services.
• Represent the Open Doors program at meetings and outreach events.
• Maintain accurate data in NYAIL database and comply with HIPAA and ethics.

Skills

Person Centered Planning

Consumer choice

Disability awareness

Multicultural communication

Microsoft Office

Verbal communication

Written communication

Time management

Attention to detail

Team collaboration

Driving

Education

Associate Degree in Health, Human Services, or related field

Tools

Microsoft Office

Job description

Summary

The Open Doors Transition Specialist facilitates the move of individuals from institutions (such as hospitals, nursing homes, or intermittent care facilities) to community-based settings by developing discharge plans, educating on community services, and providing one-on-one advocacy.

Education and Experience

Associate Degree in Health, Human Services, or related field, or equivalent experience.

Experience working within the Long-Term Care system.

Knowledge, Skills, and Abilities

• Strong commitment to the independent living philosophy, Person Centered Planning, consumer choice and integration of people with disabilities into all aspects of community life.
• Knowledge of various Medicaid waivers and programs: TBI, NHTD, OPWDD, MLTC/MMCs
• Knowledge of services, community supports and benefit programs available to people with disabilities
• Knowledge of different disabling conditions
• Ability to effectively interact and work with individuals from diverse cultures and backgrounds.
• Proficient in the use of all Microsoft Office applications (Excel, Word, Power Point).
• Ability to communicate effectively, both verbally and in writing.
• Demonstrate professional work habits including dependability, time management, meet deadlines, independence, and responsibility.
• Knowledge of ethical and professional responsibilities and boundaries.
• Excellent attention to detail and organizational skills.
• Ability to multi-task and work effectively in both a team and individual setting.
• Capacity to work in various settings, including home visits and community-based locations.
• Valid drivers license, access to a reliable and insured vehicle, and compliance with all applicable state regulations, including required vehicle inspections and driving record checks. Accommodations may be provided for employees who provide travel training on public transportation or telehealth.

Essential Job Functions

• Comply with all STIC policies and procedures, as well as applicable state and federal laws and regulations.
• Receive and process referrals from lead coordinator, NYAIL, facilities, individuals and family members and ensure the transition process is coordinated for each individual.
• Provide information and assistance for individuals and families who are considering or are in the process of transitioning from an institution to living in the community.
• Assist and advocate for participant to develop a person-centered transition plan.
• Coordinate visits to institutions and homes to provide unbiased information on home and community-based services to individuals, participate in discharge planning, and coordinate with other relevant social services agencies involved in the discharge and transition care of the individual.
• Represent the Open Doors program at all implementation, development, and outreach meetings.
• Collaborate with New York Association on Independent Living (NYAIL) staff to determine and resolve barriers to transition.
• Ensure all significant individual data and service provision details are current and accurate and that they are documented in a timely manner into the NYAIL database.
• Comply with all agency policies and procedures including HIPAA, confidentiality, code of ethics, etc.
• Collect and maintain all required statistical and other data and prepare reports within established timeframes.
• Attend all mandatory agency and departmental trainings, meetings, and sign language class and advocacy groups.
• Perform all other duties relevant to the position as requested.

Physical Requirements/Working Conditions

Ability to sit/stand throughout day to accomplish job. Ability to reach above shoulder level. Ability to turn/twist upper body. Ability to enter data, notes, and other documentation into a computer. Must be able to travel throughout Broome, Tioga, and Chenango counties. Ability t