Transitional Care Coordinator - Bilingual Preferred

Cone Health • Greensboro, NC

73d • Hybrid

About The Position

The Transitional Care Coordinator works with the Registered Nurse Case Manager to help coordinate and facilitate post-clinical care and treatment for patients. Working under general supervision, this role identifies and utilizes resources to assist with the transition, optimizing a care strategy for the patient. Advocates for patients, families, and the organization in order to ensure that the best care is provided, counseling is available, and cultural and religious beliefs are respected. Connects patients and families to community resources that will help with the patient's care to ensure a smooth transition period. Facilitates discharge and post-care for patients to create a pathway to health in the future, communicating details and dates of future appointments clearly. Creates and manages the template for the Transitional Care Clinic to allow for easy last minute changes if necessary. Tracks records to confirm that all data necessary for reports is quality and finding any potential gaps in data and applying corrections to said gaps. Provides counseling to patients and families to ensure the proper support based on the transition plan is provided and resources are available as necessary. Performs other duties as assigned.

Requirements

• Bachelor's in Social Work, or Bachelor's in Psychology/Counseling.
• 1-2 years healthcare related experience.

Responsibilities

• Coordinate and facilitate post-clinical care and treatment for patients.
• Identify and utilize resources to assist with patient transitions.
• Advocate for patients, families, and the organization.
• Connect patients and families to community resources.
• Facilitate discharge and post-care for patients.
• Create and manage the template for the Transitional Care Clinic.
• Track records to confirm data quality and address gaps.
• Provide counseling to patients and families.

What This Job Offers

• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees