Transitional Care Home Coach
About The Position
Dedicate yourself to an Organization and Mission you can be proud of by joining the Western Reserve Area Agency on Aging! Our Mission: We provide choices for people to live independently in the place they want to call home. About Us: Western Reserve Area Agency on Aging (WRAAA) is a private non-profit corporation, organized and designated by the State of Ohio to be the planning, coordinating and administrative agency for federal and state aging programs in Cuyahoga, Geauga, Lake, Lorain and Medina Counties. It is one of twelve Area Agencies on Aging (AAAs) in the state organized together with local service provider organizations and the Ohio Department of Aging (ODA) to form the state's public aging services network. The network works together to create opportunities for Ohioans to receive needed home and community services and supports; and to age successfully in their own homes and communities. Candidates we love… Self-motivated and compassionate Social Workers (LSWs) and Registered Nurses (RNs) looking to be part of a Best-in Class organization Team players who are committed to providing superior service to all they serve Enthusiastic professionals excited to grow with an organization that values dedication, innovation and collaboration. What our staff loves about us… A Competitive Salary A generous six-week PTO program with thirteen paid holidays A $ 750.00 investment in professional development through a substantial, annual training funds allotment A 401K program with a company match Medical, Dental, Vision Benefits options 72.5 cents per Mileage reimbursement Free parking and so much more… Position Overview: The Transitional Care Home Coach provides participant-centered transitional care services to support older adults and their caregivers during care transitions. This role conducts assessments, delivers education and coaching on health conditions, medications, and self-management, and connects participants to appropriate community and agency resources.
Requirements
- Applicants must hold a valid, active, and unrestricted RN, LPN, or LSW issued by the state of Ohio.
- Hold a minimum of one year of clinical experience post-licensure.
Responsibilities
- Orient and elucidate program details to program participants, including medication information, care scope, transition event scope, coaching process, program expectations, and agency resources.
- Conduct visits with program participants in their homes or assisted living facilities, either in-person or telephonically.
- Administer and document all prescreening assessments, chart histories, and initial intake evaluations for each program participant.
- Offer coaching to participants regarding their personal goals, conditions, medication adherence, medical appointment follow-ups, and self-advocacy.
- Educate and provide support to program participants and their caregivers about the resources available through the Agency.
- Act as an advocate for participants and/or caregivers/families, assisting in securing appropriate services in accordance with the participant's insurance policy and the agency's available resources.
- Apply clinical expertise and critical thinking to execute program activities following education, experience, and relevant professional practice standards.
- Report instances of abuse, neglect, or exploitation of older adults as mandated by Ohio law and program guidelines.
- Adhere to the professional code of ethics established by the Ohio Board of Nursing, Ohio Board of Counselor, Social Work, Marriage & Family, and WRAAA.
- Demonstrate consistent effective customer service behaviors and practices when interacting with both internal and external stakeholders to achieve departmental goals, program metrics, and agency mission.
- Participate in training, meetings, in-services, and continuing education opportunities offered by the agency, managed care partners, or as identified by the employee. Also, respond to requests from supervisors, managers, or directors to support departmental goals.
- Possess the ability and willingness to travel to community and participant locations within all county service areas (Cuyahoga, Lorain, Geauga, Lake, and Medina counties).
- Collaborate with external agencies, internal departments, and partner AAAs to ensure seamless care continuity for program participants.
- Fulfill other assigned duties as required by Management to meet agency and departmental objectives.
- This role primarily involves tasks related to the effective operation of the Agency, necessitating the exercise of discretion and independent judgment in matters of significance.
- Support and participate in additional programs as needed.
Benefits
- A Competitive Salary
- A generous six-week PTO program with thirteen paid holidays
- A $ 750.00 investment in professional development through a substantial, annual training funds allotment
- A 401K program with a company match
- Medical, Dental, Vision Benefits options
- 72.5 cents per Mileage reimbursement
- Free parking and so much more…
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
