Transition Coach

• Provide support to patients recently discharged home from the emergency room with the goal of reducing readmissions and increasing self-management skills
• Conduct home visits
• Provide follow up calls to offer additional support services, connect the patient to community resources, and review recommendations from the in-person visit
• Ensure effective communication across an interdisciplinary team to support a smooth discharge home

• Bachelor’s Degree preferred, experience may be substituted
• Excellent verbal and written communication skills
• Ability to independently organize work and meet deadlines
• Ability to work with an interdisciplinary team across multiple agencies to effectively prioritize and address referrals
• Ability to complete thorough assessments and identify appropriate home and community-based services and resources to meet needs
• Experience with discharge planning, case management, care coordination, and/or providing referrals and resources, preferred
• A reliable car, current driver’s license and safe driving record is required

Experience with discharge planning, case management, care coordination, and/or providing referrals and resources

• 3 weeks of vacation in first year
• Birthday off
• 13 paid holidays
• 3 paid personal days
• 15 paid sick days per year
• Health & dental insurance with employer contribution
• Life and long-term disability insurance at no cost to employee
• Flexible Spending Plan
• Employee Assistance Plan
• 401K Retirement Savings Plan w/ employer contribution
• Mileage reimbursement
• Flexible Work Options available after 6 months
• Employee referral bonuses
• Free parking
• Commitment to promoting from within