Care Transitions Manager

Position SummaryAssumes the responsibility and accountability for collaborating, directing, following and coordinating the care and services provided by the skilled nursing community to align with assigned resident’s goals as well as those of the acute and post-acute continuum care providers.  This position is responsible for the effectively facilitating a successful transition from the skilled community into the home environment utilizing educational materials and support to encourage all stakeholders to play an active role in their total well being.  Assists the resident in becoming proficient and comfortable with managing their own care, providing guidance to the resident for effective care transitions, improved self management skills and enhanced provider to resident communication. The care transitions manager helps facilitate interdisciplinary communication and collaboration across multiple settings.  Responsible for assisting the Director in managing an assigned number of team members to include providing coaching and training, corrective action planning, goal setting,  interviewing applicants, and conducting performance appraisals. Responsible for managing rehabilitation services including vendor management and relationships, team members rehab competencies and training. Acts as Director of Nursing in the manager’s absence.