CCT Transition Coordinator

Position Summary:

The CCT Coordinator is responsible for coordinating the options that are available to SNF residents. The CCT Coordinator is responsible for assisting in the liaison work between the State of California and the Community in which clients from local nursing facilities will reside.  

QUALIFICATIONS

1. Preferably, has a Bachelor’s degree in health care/business administration or a related field.
2. Has adequate personal computer skills, preferably Microsoft Word, Excel, PowerPoint and Access. 
3. Previous Health Care experience preferred.
4. Background and/or knowledge of developing reports, newsletters, brochures, statistics, and information analysis desired. 
5. Has experience in Community Liaison in the Los Angeles community.
6. Is at least 18 years of age.
7. Must have adequate physical and mental health.
8. Has the ability to read, write and follow instructions in English.
9. Has good organizational skills.
10. Is self-instructed and able to work with minimal supervision.
11. Has excellent analytical skills.
12. Has the ability to establish and maintain good communication and relationship with all in-office, field and administrative personnel.
13. Has good written and verbal communications skills.      
14. Has been terrific as a coordinator to show that is responsible.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following is a representation of the major duties and responsibilities of this position. Libertana Home Health will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

1. Overseeing and assisting staff involved under the CCT program.
2. Assisted clients in housing and transition coordination 
3. Follow up with SNF’s case managers, discharge planners and the appropriate people who work there, establishing working relationships and educating them about the CCT program and the variables available to their patients/clients on discharge.
4. Identifying and interviewing residents for pre-screening and isolate client needs.
5. Coordinating agency RN’s visit to assess the resident and to help prepare the Initial Care Plan (ICP).
6. Prepare and submit 20 hour TAR with appropriate attachments. Prepare and submit the 100 TAR.
7. Work on housing and other needs of the resident. Coordinate DME and assistive devices with SNF and DME Company.
8. Maintain contact with the SNF’s and residents while working on the resident’s care plan and other needs.
9. Apply for the appropriate waiver based on the resident’s needs (ALW/NF).
10. Work on Final Care Plan (FCP), have it signed by the doctor and attach to PTC TAR.
11. Have transition plan signed on date of transition and attach to PTC TAR.
12. Help transition the resident back into the community as outlined in FCP.
13. Coordinate with the PTC to hand off the resident to be case managed and followed for the first year home.
14. Involved in the interview process of potential Transition Coordinators.
15. Train and work with new TC’s
16. Involved in administration meetings in regard to CCT.
17. Review folders of residents being discontinued or transitioned.
18. Present all time keeping to billing weekly, service to hours approved.
19. Assists with the Organization’s compliance with federal and state regulations, HIPAA and JCAHO standards. 
20. Participates in administrative/staff meetings as required.
21. A significant amount of driving may be required in and around the Los Angeles, San Diego, Riverside and San Gabriel Counties. 
22. Familiarity with Title 22.
23. Maintains comfortable work environment for all employees.
24. Knowledge of Confidentiality, HIPAA and healthcare laws and regulations.
25. Maintains proper timekeeping.
26. Follows policies and procedures as per Employee Handbook.
27. Maintains all credentials up-to-date.
28. Reports Fraud and Abuse.
29. Knowledge of mandated reporting.
30. Conducts timely recording and/or documentation of client contact.
31. Attends Department meetings (in person, by phone or by web).
32. Attends all State mandated in service trainings.
33. Will perform other duties as assigned.

PHYSICAL REQUIREMENTS

Approximately 25% is required sitting in performing administrative functions. Standing or walking is approximately 75%.