Job Details

Transition Care Coordinator Full Time

Company name
TH Medical

Hilton Head Island, SC

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Transition Care Coordinator Full Time','!*!SUMMARY:

The role of the Transition Care Coordinator is to provide the Care Transitions Intervention also known as the CTI. The Transitions Care Coordinator is key to encouraging the patient and family caregiver to assume a more active role in their care. The Transitions Care Coordinator does not fix problems and does not provide skilled care though she or he possesses these skills from prior health professional training. Rather, the Coordinator model and facilitate new behaviors, skill transfer, and communication strategies for patients and families to build confidence that they can successfully respond to common problems that arise during care transitions. The patient’s goal drives the agenda. The Coordinator promotes more effective care transitions through improved self-management skills, and enhanced patient-provider communication.

The Transitions Care Coordinator works with patients/family caregivers for at least 30 days post hospital discharge to practice skills and gain confidence in the four conceptual areas of the CTI:

Medication self-management: Patient is knowledgeable about medications and has a medication management system.

Use of a patient – centered record. Patient understands and utilizes the personal health record to facilitate communication and ensure continuity of care across provides and settings. The personal health record is managed by the patient/caregiver.

Primary Care and Specialist Follow Up: Patient schedules and completes follow-up visit with the primary care physician and or specialist physician and is prepared to be an active participant in these interactions.

Knowledge of Red Flags: Patient is knowledgeable about indicators that suggest his or her condition is worsening and how to respond.','!*!Qualifications:

Required qualifications include an active Registered Nurse license, MSW, or Occupational Therapy license with at least two years acute care or Home Health experience preferred.

Experienced, empowered, employed professional

Demonstrated flexibility without over reliance on rules and regulations

Demonstrated history of excellent communication skills: active listening; use of open-ended questions; ability to reframe and redirect

Demonstration critical thinking skills

Experience with home visits preferred

Ability to effectively communicate (verbally and in writing) in English.','Nursing','SC-Hilton Head','','Hilton Head Hospital','Full-time','Full-time','Days','Days','','','','','','','1805022597','Transition Care Coordinator Full Time

Company info

TH Medical
Website :

Company Profile
At Tenet Healthcare, we’ve had a longstanding commitment to serving our patients, our employees, our physicians and our partners. Today, we’re one of the nation’s leading healthcare services companies, with a comprehensive network that extends from coast to coast:

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