Transitional Care Coordinator (Field Based)

Join Our Compassionate Team at Grace Healthcare ServicesPosition:  Transitional Care Coordinator Monmouth County (Field Based)Location: Monmouth County, New Jersey​Schedule: Mon-Fri 8:30-5:00 pmAbout Grace Healthcare ServicesAt Grace Healthcare Services, we believe hospice care is more than a service- it's a calling. Our team is built on compassion, dignity, and respect for our patients and their families during life's most tender moments. Founded by a group of dedicated hospice professionals, we are committed to providing the highest level of care to those we serve. If you're looking for a meaningful career where you can make a real impact, we invite you to join our team. We are committed to educating consumers and serving patients and families with the utmost dignity and grace.​Role Overview: The Transitional Care Coordinator (TCC) serves as a support professional to work with families as they consider hospice care. This role works with the Business Development and clinical teams to ensure exemplary patient and family experience while transitioning to hospice care.Key Responsibilities:· Provide compassionate education on hospice philosophy, benefits, services and levels of care.· Conduct bedside or virtual meetings with patients and families to assess needs and address concerns.· Respond promptly to new referrals and collaborate with referral sources, community liaison and clinical team.· Support families through the consent and admission process.· Track referral patterns, conversion trends, and non-admission reasons.· Follow pending patients through to admission.· Document patient interactions via coordination notes in EHR.· Perform administrative duties as instructed by director of business development.· Attend team meetings and provide patient status updates.· Complete reports and present to business development leadership.· Gather documents for intake, medical records, facilitate signed orders when needed.· Adhere to the practice of confidentiality regarding all patients, staff, customers and all aspects of the organization.· Ensure that Grace Healthcare Services' best practices are incorporated into all job activities/responsibilities.· Perform other duties as necessary.Qualifications:· Bachelor's degree in healthcare, social work, nursing or health related field preferred.· Minimum 2 years of experience in hospice, palliative care, hospital discharge planning or case management.· Strong understanding of hospice eligibility and transitions of care.· High attention to detail and follow-through· Exceptional interpersonal communication and customer service skills