Transition Coach

Springwell•Waltham or Marlborough, MA

3d•$28

About The Position

Join Springwell in a new and exciting partnership that supports older adults returning to the community after a hospitalization! The compensation for this role is $28.21/hr for a 37.5 hour work-week. POSITION DESCRIPTION: The Transition Coach provides support to a group of patients who have recently discharged home from the emergency room with the goal of reducing readmissions and increasing self-management skills in the community during the first 30 days of discharge. In addition to conducting home visits, the Transition Coach will provide follow up calls to each patient to offer additional support services as needed, connect the patient to community resources, and review recommendations from the in-person visit. The Transition Coach will be an integral part of an interdisciplinary team and will ensure effective communication across the team to support a smooth discharge home.

Requirements

Bachelor’s Degree preferred, experience may be substituted
Candidates must have excellent verbal and written communication skills
Be able to independently organize work and meet deadlines
Be able 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
A reliable car, current driver’s license and safe driving record is required

Nice To Haves

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

Responsibilities

Conducting home visits
Provide follow up calls to each patient to offer additional support services as needed
Connect the patient to community resources
Review recommendations from the in-person visit
Ensure effective communication across the team to support a smooth discharge home

Benefits

3 weeks of vacation in first year
Birthday off
13 paid holidays
3 paid personal days
15 paid sick days per year (You can accumulate up to 450hrs/12weeks)
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 for most positions; alternate start time between 8:00 and 9:30 a.m., 4-day work week, 4.5-day work week, telecommuting work option, remote work option
Employee referral bonuses
Free parking
Commitment to promoting from within