Transition Coordinator QP
Company: Vaya Health
Location: Burlington
Posted on: January 23, 2023
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Job Description:
LOCATION: Rowan County, NC, Chatham County, NC, Alamance County
County, NC, and Stokes County, NC. Incumbent must live in the state
of North Carolina
SALARY: Depending on qualifications & experience of candidate. This
position is non-exempt and is eligible for overtime
compensation.
GENERAL STATEMENT OF JOB:The Transition Coordinator QP (TC) is
responsible for providing proactive coordination of services to
persons residing in or being diverted from institutionalized
settings prior to their transition to home and community based
services. These services prepare members/recipients for discharge
and assist during adjustment period immediately following discharge
from an institution. This is a mobile position with work done in a
variety of locations. The Transition Coordinator QP will work with
members/recipients in their communities. Note: This position
requires access to and use of confidential healthcare information
or protected health information (PHI) as described in laws
addressing patient confidentiality, including, but not limited to,
the federal HIPAA law, the Confidentiality of Alcohol and Substance
Abuse Patient Records law, 42 CFR Part 2, and various state laws.
As such, the individual filling this position shall be required to
be trained regarding such laws and shall be required to observe
those laws in his/her capacity as an employee of Vaya Health. The
individual filling this position shall also sign a confidentiality
statement as an employee of Vaya Health.
ESSENTIAL JOB FUNCTIONS:Transition Planning: Transition Planning
Process:The Transition Coordinator QP will work alongside the
Transition Coordinator LP to ensure that any member/recipient who
wishes to move to a more inclusive setting, from the adult care
home or state psychiatric hospital, is provided with clinically
indicated and appropriate behavioral health services and supports
and In Reach staff, care management, and other Vaya departments
necessary to ensure transition/discharge planning begins at
admission to the facility. The Transition Coordinator QP will
assist in developing the transition team.To facilitate a successful
transition, the Transition Coordinator QP:* Meet with the
member/recipient, conduct clinical record review, and ensure
completion of necessary assessments as needed. An assessment
include but is not limited to: diagnostic assessments,
comprehensive clinical assessments, and psychological evaluations.
* Assists the member/recipient in developing an effective written
plan which will include linkage to necessary treatment and crisis
planning to enable the member/recipient to live independently in an
integrated community setting;* Networks with the member/recipient
and the member/recipient's's family and supports to develop a
thoughtful, organized, holistic transition plan that addresses
his/her community-based support needs;* Ensures
discharge/transition planning is developed and implemented through
person-centered planning processes in which the member/recipient
has a primary role and is based on the principle of
self-determination while considering safety and well-being;*
Coordinate with the member/recipient, his/her family and supports
to identify and secure the Community resources necessary to
transition. Following basic hierarchical needs this includes but is
not limited to: housing, behavioral health services, medical care,
financial management, safety and security, and other community
supports that are needed for community living;* Develop diagnostic
impression prior to linkage of services to ensure clinically
appropriate services are in place during transition. * Use
motivational interviewing techniques to ensures a thorough North
Carolina Person Centered Plan (NCPCP) is developed;* Foster
communication with institutions, provider agencies, and other
community and natural supports that will be involved in the
transition. Diversion:Transition Coordination function assumes
responsibility for being responsive tothe transition needs
identified through the Department of Justice diversion process,
ensuringa member/recipient requiring diversion from an Adult Care
Home via the Referral Screening Verification Process (RSVP). The
Transition Coordinator QP then assists the member/recipient through
the transition planning process. This requires brokerage with high
end stakeholders such as hospitals, institutions, and other
community stakeholders. Each transition experience is unique and
may require multiple meetings of the team members or ongoing
communication to ensure the transition process occurs in an
organized, timely manner. In collaboration with the
member/recipient and the transition team, the Transition
Coordinator is responsible for establishing a transition team
planning meeting schedule that effectively meets the needs of the
particular transition. Use of therapeutic intervention may be
necessary to evolve and stabilize a member/recipient's transition
experience. The Transition Coordinator QP has responsibilities
throughout the transition, including on transition day. He/She must
be available to the transition team, including in person
participation and will ensure move-in logistics have been arranged
either directly or in partnership with other teams within the
LME/MCO (i.e. Housing specialists). Follow along is also part of
the transition process. Follow along should be sufficient to ensure
that a person's clinical and basic needs are identified and
addressed in a timely way that ensures the member/recipient does
not loose critical services or housing. DocumentationThe Transition
Coordinator QP is responsible for clear and concise documentation
of the transition process for each member/recipient. This
documentation will serve to inform the local organization, state,
and federal government. All contacts and interventions will be
documented in the member/recipient's administrative health
record.Collaboration:The Transition Coordinator QP will have
ongoing, respectful communication with all members/recipients
involved in the transition process. The Transition Coordinator QP
will work closely with the In Reach staff, care coordination,
hospital liaisons and other Vaya departments necessary to create,
implement and fulfill successful transition planning with
members/recipients. The Transition Coordinator QP will also be
involved in education with members/recipients, families, providers,
and stakeholders associated with Transitions to Community Living.
Other duties as assigned.
QUALIFICATIONS & EDUCATION REQUIREMENTS:A Bachelor's Degree is
Human Services is required with two years of post-bachelor's
accumulated experience with the population served. ORA graduate of
a college or university with a Bachelor's Degree in a field other
than human services and four years of full-tinme, post-bachelor's
degree with accumulated experience with the population served.
PHYSICAL REQUIREMENTS:This position must have the ability to
establish appropriate and respectful relationships/partnerships
with organizational personnel. Ability to work with a
multidisciplinary team approach. Ability to assume a helping role
and to intervene appropriately to meet the needs of providers,
consumers or families served. Works within the established ethical
guidelines developed for the profession.
KNOWLEDGE, SKILL & ABILITIES:A high level of diplomacy and
discretion is required to effectively negotiate and resolve issues
with minimal assistance. This will require exceptional
interpersonal skills, highly effective communication ability, and
the propensity to make prompt independent decisions based upon
relevant facts. Problem solving, negotiation, and conflict
resolution skills are essential to balance the needs of both
internal and external customers. Must be highly skilled at shifting
between macro and micro level planning, maintaining both the big
picture and seeing that the details are covered.The Transition
Coordinator QP must have considerable knowledge of the MH/SU/IDD
service array provided through the network of Vaya providers.
Additional knowledge in Vaya Medicaid B and C waivers and
accreditation is helpful.The employee must be detail oriented, able
to organize multiple tasks and priorities, and to effectively
manage projects from start to finish. Work activities quickly
change according to mandated changes and changing priorities within
the department. The employee must be able to change the focus of
his/her activities to meet changing priorities.Proficiency in
Microsoft Office products (such as Word, Excel, Outlook,
PowerPoint, etc.) and Vaya information system is required.
LOCATION REQUIREMENT:In accordance with the BH and I/DD Tailored
Plan requirements mandated by the NC Department of Health and Human
Services, certain Vaya Health positions are required to be filled
by individuals who reside in North Carolina, meaning someone who
establishes a legal domicile in North Carolina and pays income tax
in North Carolina, or resides within 40 miles of the North Carolina
border. New hires from outside of North Carolina will have 60 days
from the date of hire to meet this requirement, if applicable to
the position.This position is required to reside in North Carolina
or within 40 miles of the North Carolina Boarder.
DEADLINE FOR APPLICATION: Open Until Filled
APPLY: Vaya Health accepts online applications in our Career
Center, please visit http://www.vayahealth.com/careers-overview/
Ind.001
Vaya Health is an equal opportunity employer.
Keywords: Vaya Health, Burlington , Transition Coordinator QP, Other , Burlington, North Carolina
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