Nursing Home Transition Coordinator- Allentown/Lehigh County

Abilities in Motion - Lehigh, PA3.5

Full-timeEstimated: $38,000 - $51,000 a year

Job Title: NHT Coordinator

FLSA status: Non-exempt, hourly

Department: LTSS

Location: Philadelphia, Wyomissing, or Lehigh Office

Reports to: NHT Field Supervisor

Supervisory: None

Full-time or Part-time: Full-time

Written: November 2016

Revised: September 2018

Position Summary: The Nursing Home Transition Coordinator (NHTC) is responsible for overseeing the transition of consumers moving from nursing homes to a residential setting. The NHT Coordinator will work collaboratively with numerous social service agencies, family members, nursing home staff, Ombudsmen and therapists to successfully plan and organize transition.

Essential Functions (Primary Duties):
Adheres to the organizations mission, vision and values.
Adheres to the organization’s policies regarding time and attendance.
Complies with accepted dress code and maintains a professional image.
Demonstrates reliability and trustworthiness.
Manages time and other resources to meet established goals within the agreed upon time frames.
Demonstrates flexibility in the acceptance and completion of work assignments.
Participates in the department’s performance improvement activities.
Maintains patient/employee confidentiality in the management of information.
Observes AIM’s compliance policies.
Other duties as assigned.

Work with nursing home social service departments, Ombudsmen and other facilities and agencies to identify consumers who desire transition from a skilled nursing home to a residential setting.
Plans, develops and coordinates services with other human service agencies including enrollment agencies such as the PA Independent Enrollment Broker by initiating Home and Community Based Services applications.
Directly interacts with consumer and family members on planning and arranging for necessary support services to ensure a smooth transition to a home setting including working in conjunction with waiver service coordinators in developing a plan and discharge process.
Interfacing with city and county housing authorities and working with subsidized housing programs when necessary.
Conducts care plan meetings with the consumer and nursing home staff to ensure suitable housing arrangement and services are set up upon discharge into the community.
Works directly with construction contractors in inaccessible housing to monitor the completion of accessible home modifications.
Assists the consumer with the development of a plan for discharge including moving logistics and household set up.
Works with service coordinators to assist consumers with community integration through an individual service plan.
Tracks, enters and maintains date in statewide electronic database.
Represent AIM at professional conferences, seminars and meetings as needed and provide updated and communication to the Office of Long Term Living as required.

Job Specifications:
Travel is required to geographic areas including, but not limited to, the following counties: Philadelphia, Montgomery, Delaware, Chester, Lehigh, York, Adams, Cumberland, Dauphin or Lancaster. As the company expands the NHTC may be traveling to additional counties. Travel may also be required for professional conferences, seminars and meetings.
Must have a valid PA driver’s license in order to provide services to consumers in their home or community.
Personal vehicle must be insured and registered.
Shall function as part of a team, working cooperatively with colleagues and supervisor.
Well organized, able to manage one’s schedule and be flexible to meet the needs of the participants.
Excellent verbal and written communication skills.
Basic computer skills with knowledge of Word, Excel, and data entry using Web-based systems.
Trustworthy and able to work from remote sites with minimal supervision.

Education/Relevant Work Experience: Bachelor’s degree in Human Services or other relevant field of study. Minimum of 3 years’ experience in social work, counseling or aiding individuals and/or families requiring social service assistance preferred.

Work Schedule:
The NHT Coordinator work week is 37.5 hours and any overtime must be pre-approved by the NHT Supervisor. Daily hours are 8:30am-4:30am pm with a 30 minutes unpaid meal break.
Daily travel to meet with consumers, outside business contacts, conferences and meetings.
A flexible schedule may be permitted to accommodate consumer need with prior authorization from manager.

Physical demands & work environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: While performing duties of job, employee is occasionally required to stand; walk; sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms, talk and hear. Employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Mental Demands: Stressful due to time constraints and multiple tasks//procedures occurring at the same time.
Work environment: The noise level in the work environment is usually moderate.
Manual Dexterity Required: Must be able to manipulate small electronic parts and controls.

Americans with Disabilities Act Statement:
External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case-by-case basis.

EEO Statement: AIM is an equal opportunity employer.

Must have a Bachelor's Degree in Social Work or a related field
Must have a valid Driver's License, valid Car Registration, and valid Car Insurance
Must have a minimum of three years community based social services experience