Transition of Care Coach (BH Licensed) - Thurston/Mason County
Hybrid · Olympia, Washington, United States
Job Summary
Hybrid Transition of Care Coach responsible for guiding members through a 30-day discharge transition from hospital admission to post-acute settings. Delivers face-to-face and home visits, collaborates with discharge planners, hospitalists, facility staff, and family/support networks to ensure safe, timely transitions and reduce readmissions. Coordinates care with ancillary providers and public agencies, uses the Coleman Care Transition model and motivational interviewing to educate and motivate patients, and leads interdisciplinary care team meetings. Requires travel (40-50%), and prior experience in discharge planning or home health with licensed behavioral health credentials.
Required Qualifications
- At least 2 years' experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
- Licensed behavioral health clinician to include Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT), Doctor of Psychology (PhD or PsyD). License must be active and unrestricted in state of practice.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
- Background in discharge planning and/or home health.
- Demonstrated knowledge of community resources.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving, and critical-thinking skills.
- Excellent verbal and written communication skills.
- Microsoft Office suite/other applicable software program(s) proficiency.
Apply with one swipe on Sorce. We auto-fill applications and apply on your behalf — no cover letters, no 40-minute forms.
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.