What are the responsibilities and job description for the Transitional Care Coordinator – Home Health position at Black Women's Mental Health Institute?
Role: Transitional Care Navigator
Responsibilities
Responsibilities
- Support patients and families during care transitions from hospital or facility to home or community-based services.
- Coordinate discharge plans and schedule follow-up appointments.
- Connect clients with personal care, home health, or hospice services to ensure safe, timely transitions and reduce readmissions.
- Collaborate with interdisciplinary teams to deliver comprehensive care.
- Educate patients on care plans and available resources.
- Advocate for patient dignity, respect, and independence.
- Strong communication and interpersonal skills.
- Ability to coordinate multiple care activities effectively.
- Patient-centered approach with empathy and advocacy skills.
- Experience or knowledge in healthcare services, care planning, or case management is preferred.