Transitional Care Coordinator

University of Toledo Physicians•Toledo, OH

2d•Hybrid

About The Position

The Transitional Care Coordinator (TCC) will be responsible for the planning, organizing, implementing, and coordinating activities contributing to the nursing process to provide a team-based, patient-centered approach. This role will work collaboratively with physicians and the care team to promote health services that are appropriate, safe, and efficient. Strong organizational and positive relationship-building skills are essential for this position.

Requirements

Graduate of an accredited LPN program
Current unencumbered Ohio Practical Nursing Licensure
BLS Certification
Excellent interpersonal, written, and verbal communication skills
Demonstrated ability to work collaboratively.
Ability to meet deadlines, prioritize, and organize time.
2+ years of applicable experience

Nice To Haves

RN or RN BSN preferred
Current unencumbered Ohio Registered Nursing Licensure
Care coordination experience preferred.
Experience with quality improvement processes preferred.
5+ years of applicable experience

Responsibilities

Supports the patient’s transition from Emergency Department (ED) discharge to primary care services or ambulatory specialists as appropriate.
Contributes to a focused health, self-management, socio-economic, behavioral, and risk status assessment with patients. Supports treatment adherence.
Communicates with agencies and community service providers, identifies available community and health resources, and helps the patient and family access needed care and services.
Maintains a professional, collaborative, and productive relationship with providers and the care team.
Participates in quality improvement projects as needed and implements quality improvement initiatives.
Promotes effective collaboration amongst care team members, including the patient and family. Identifies and builds upon the assets and strengths of all members of the care team.
Effectively utilizes all tools available to support care coordination. Maintains a high level of proficiency with tools within EMRs and other applications intended to support patient care.
Works with a team of health care professionals and will require the flexibility to shift responsibilities as necessary.
Participates in program, department, and clinic team meetings as indicated.
Other duties as assigned.