About The Position

The Aftercare Coordinator at Orlando Regional Medical Center develops, coordinates, and evaluates post-discharge recovery and survivorship services for trauma and burn patients within a Level I Trauma Center and ABA Verified Burn Center. The role serves as the primary liaison among inpatient care, outpatient clinics, rehabilitation services, peer support networks, and community resources to support continuity of care throughout recovery. The coordinator leads trauma and burn survivorship initiatives, including the Trauma Survivors Network (TSN), Phoenix Society SOAR (Survivors Offering Assistance in Recovery), Journey Forward, peer support programs, support groups, and survivor engagement activities. The position aims to improve recovery, psychosocial well-being, community reintegration, and long-term quality of life for survivors and their families. In addition to coordinating survivorship services, the role reviews and analyzes clinical data, supports quality improvement and regulatory activities, maintains accurate program records and performance metrics, and helps ensure data integrity and compliance with organizational policies and applicable standards. The coordinator works collaboratively with multidisciplinary teams and may train new team members on systems and related compliance practices.

Requirements

  • Associate’s degree in Nursing or another healthcare degree, or eight years of healthcare experience in lieu of a degree.
  • Current Registered Nurse license in Florida, or another healthcare license and/or certification and/or degree.
  • Two years of clinical experience in rehabilitation, social services, patient navigation, care coordination, case management, behavioral health, burn care, trauma care, or a related field.
  • Experience working with patients and families facing complex medical, psychosocial, or recovery-related challenges.
  • Intermediate computer skills, including knowledge of Microsoft Word and Excel.
  • Knowledge of patient-centered care and recovery, psychosocial aspects of trauma and burn injury, community resource navigation, care coordination, trauma-informed care, behavioral health and supportive services resources, group facilitation and communication techniques, healthcare systems and multidisciplinary care delivery, patient confidentiality, and professional boundaries.
  • Ability to analyze clinical data and use statistical techniques.
  • Ability to maintain clinical information accuracy of at least 95% under the stated data-integrity standards.

Nice To Haves

  • Bachelor’s degree in Social Work, Psychology, Counseling, Nursing, Public Health, Rehabilitation Services, Health Sciences, Human Services, or a related field.
  • Master’s degree in Social Work (MSW), Counseling, Psychology, Public Health (MPH), Nursing, Rehabilitation Counseling, Healthcare Administration, or a related field.
  • Experience in trauma, burn, rehabilitation, behavioral health, or survivorship services.
  • Experience facilitating support groups or peer support programs.
  • Experience with volunteer management and community outreach.
  • Experience in program development, project management, or quality improvement initiatives.
  • Experience working in a trauma center, burn center, rehabilitation facility, or academic medical center.

Responsibilities

  • Coordinate Trauma Survivors Network (TSN), SOAR, Journey Forward, peer support, and survivorship programs.
  • Conduct post-discharge outreach and provide ongoing support to trauma and burn survivors and their families.
  • Facilitate peer support visits, support groups, educational programs, and survivor events.
  • Recruit, train, and support peer volunteers and survivor mentors.
  • Serve as a liaison between inpatient trauma and burn services, outpatient clinics, rehabilitation providers, and community partners.
  • Identify barriers to recovery and connect patients with appropriate resources and services.
  • Facilitate referrals to behavioral health, rehabilitation, social services, vocational resources, financial assistance programs, and community organizations.
  • Monitor patient engagement, program participation, and recovery outcomes.
  • Collaborate with multidisciplinary teams to improve continuity of care and patient experience.
  • Support ACS Trauma Center and ABA Burn Center verification activities related to survivorship and recovery services.
  • Assist with developing policies, procedures, educational materials, and program improvement initiatives.
  • Maintain accurate program records, reports, and performance metrics.
  • Review, abstract, and analyze clinical data for information systems as assigned, and maintain current guidelines for relevant data collection systems.
  • Use critical thinking, problem-solving, process improvement concepts, and statistical techniques to analyze data and identify opportunities for improvement.
  • Collect concurrent, accurate data in accordance with Clinical Practice Improvement department guidelines.
  • Analyze complex reports for regulatory agencies and internal purposes in a timely and accurate manner.
  • Manage time effectively, reprioritize assignments as needed, and work independently under general supervision with latitude for initiative and judgment.
  • Cross-train to assist with various systems and train new team members to support compliance, data integrity, and protection of protected health information (PHI).
  • Serve as a resource to Orlando Health regarding healthcare regulations, standards of care, and clinical performance improvement.
  • Collaborate with Clinical Practice Improvement personnel, HIM, Clinical Nurse Specialists, Unit Based Educators, and Information Systems staff as appropriate.
  • Maintain knowledge of quality improvement philosophy, methodologies, applications, and The Joint Commission standards related to quality improvement.
  • Assist with documentation for The Joint Commission accreditation and other regulatory bodies as assigned.
  • Maintain clinical information accuracy in accordance with published standards, including quarterly data integrity testing, with accuracy of 95% or greater.
  • Inform the direct report of quality issues or concerns and provide feedback about the accuracy and usefulness of data collection systems as requested.
  • Maintain reasonably regular and punctual attendance, comply with Orlando Health policies and procedures, pursue professional growth and development, and follow organizational and professional ethical standards.
  • Demonstrate knowledge of medical record policies, procedures, confidentiality guidelines, and established departmental policies, procedures, and objectives.
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