Transition Coordinator

Description

SUMMARY

Provides information and outreach support for consumers on the MFP program. Facilitates the transition of eligible individuals and performs all related data entry and reporting. Performs all duties in a manner that fosters the achievement of the organization’s mission to identify choices and provide services to help people of all ages, abilities and incomes to live at home.

KEY RESPONSIBILITIES

1. Establishes relationships with consumers and their families, facility workers, local community providers, local Department of Social Services (DSS) social workers and other organizations.
2. Serves as liaison between providers, DSS social workers, other community-based organizations and the State of Connecticut’s transition program.
3. Establishes relationships with key staff within skilled nursing facilities who may assist with the identification of individuals who are interested in transitioning.
4. Conducts initial interview process and completes intake guide with persons in skilled nursing facilities.
5. Assists each consumer with the development and implementation of a transition plan.
6. Follows up with consumer for 365 days after their transition.
7. Completes and submits applications to DSS for Medicaid, food stamps and/or cash assistance.
8. Advocates on behalf of the consumer as necessary.
9. Coordinates plans and make referrals to appropriate community resources.
10. Maintains and keeps current and accurate consumer records.
11. Completes applications for MFP accessibility modification funds on behalf of consumer.
12. Performs additional related duties as assigned.

COMPETENCIES

• Approachability: Allows adequate time for interactions; creates a supportive communication environment.
• Client Focus: Builds effective relationships with clients, identifies client expectations, tries to see issues from their point of view; offers practical solutions to problems.
• Diversity: Fosters an environment of belonging and inclusion. Values cultural, ethnic, racial and gender diversity. Committed to equity.
• Ethics & Integrity: Makes decisions and conducts self-consistent with organization principles.
• Listening: Supports speakers and interprets their messages in such a way that effective communication takes place.
• Personal Accountability: Accepts responsibility for own actions, including failure. Embraces experiences as learning opportunities and not chances to blame.
• Problem Solving: Gathers and analyzes information, identifies goals, explores, and selects solutions, implements an action plan, and evaluates results.
• Work Relationships: Builds productive relationships in the workplace to achieve goals.

Requirements

QUALIFICATIONS

Education

• High School Diploma or equivalent; Bachelor’s Degree in Human Service or related field preferred.

Experience

• For attained Bachelor’s Degree, at least one year experience in a human service setting
• For attained High School Diploma/equivalent, at least 2 years in a human service setting.
• Thorough knowledge of community resources.
• Ability to work as part of a team and communicate effectively with consumers, families, providers and other staff.
• Flexibility with the ability to prioritize and move from task to task in a dynamic, fast-paced work environment.
• Working knowledge of Microsoft Office products.

Other

• Reliable transportation, valid driver’s license and current automobile insurance.

Physical Requirements

Physical Activity Approximate Percentage of Time Spent in this Activity

1. Bending 5%
2. Climbing (e.g. stairs) 5%
3. Keyboarding 15%
4. Kneeling 0%
5. Lifting (indicate maximum weight to be lifted) 50 lbs.
6. Reaching 5%
7. Sitting 50%
8. Standing 20%
9. Using Telephone 60%
10. Walking 30%

Work Environment (a brief description)

Work is performed in various environments including office, client homes, hospitals, nursing homes and other community setting locations. Employees can be exposed to adverse driving conditions and the varying conditions associated with a wide range of home situations. PPE may be required for some duties.

The physical requirements and description of the work environment are representative of what an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.