Care Transition Specialist
1 month ago
About the Role
At St. John's Riverside Hospital, we are committed to providing the highest quality, compassionate healthcare services. As a Continuing Care Coordinator, you will play a vital role in meeting the psychosocial needs of patients and families, ensuring a smooth transition from inpatient to outpatient care. Your focus will be on assessment, education, and collaboration with healthcare teams to develop comprehensive discharge plans.
Responsibilities
- Assess patients' continuing care needs and develop individualized plans
- Collaborate with nurses, physicians, and interdisciplinary teams to ensure continuity of care
- Educate patients and families on post-discharge care and resources
- Coordinate with community agencies and healthcare providers to ensure seamless transitions
- Review admissions and continued stays to ensure alignment with discharge plans
Qualifications
- Master's degree in Social Work, Psychology, or Counseling
- Minimum 3 years of experience in case management and discharge planning
- Knowledge of medical insurance procedures and community resources
- Ability to communicate effectively with patients, families, and healthcare teams
- Fluency in Spanish is an asset
About St. John's Riverside Hospital
We are a leader in providing high-quality, compassionate healthcare services, with a commitment to community service and nursing excellence. Our hospital has a long history of dedication to patient care and family-focused services. Join our team and be part of an organization that values teamwork, compassion, and excellence in healthcare.
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