Transition Coordinator

Description Mission Connecticut Community Care helps people of all ages, abilities, ethnicities and incomes live their best lives at home with active and meaningful connections to their communities.

Summary Provides information and outreach support for consumers on the MFP program.

Facilitates the transition of eligible individuals and performs all related data entry and reporting.

All responsibilities are performed in a manner that supports and advances Connecticut Community Care’s mission and commitment to quality, collaboration, and community leadership.

Establishes relationships with consumers and their families, facility workers, local community providers, local Department of Social Services (DSS) social workers and other organizations Serves as liaison between providers, DSS social workers, other community-based organizations and the State of Connecticut’s transition program.

Establishes relationships with key staff within skilled nursing facilities who may assist with the identification of individuals who are interested in transitioning.

Conducts initial interview process and completes intake guide with persons in skilled nursing facilities.

Assists each consumer with the development and implementation of a transition plan Follows up with consumer for 365 days after their transition.

Completes and submits applications to DSS for Medicaid, food stamps and/or cash assistance.

Advocates on behalf of the consumer as necessary.

Coordinates plans and make referrals to appropriate community resources.

Maintains and keeps current and accurate consumer records Completes applications for MFP accessibility modification funds on behalf of consumer.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee.