Care Transitions Coach 04/2025

Williamsburg, VA 23185
3/29/2025

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Position Description

CARE TRANSITIONS COACH

Peninsula Agency on Aging (PAA) is currently seeking an individual to serve as the Care Transitions Coach to provide support to individuals from hospital discharge to 30 days post-discharge.

Introduction

Peninsula Agency on Aging has been providing services that have enabled older adults to live independently since 1974. Our mission is to support the independence and quality of life of Peninsula residents, primarily 60 years and over, by advocating, arranging, or providing vital human services.

Core Competencies

Our staff value and model empathy and compassion, reliability, ability, respect for all, and communicating with kindness.

Key Responsibilities

As the Care Transitions Coach, you will provide information and guidance to the patient and/or family for an effective care transition, to improve self-management skills and enhance patient-practitioner communication, by assisting patients with the development of a personal health record; practice medication management; schedule follow-up appointments with their physician/specialist; and learn to recognize symptoms that indicate their condition is worsening and how to appropriately respond.

Essential Skills and Experience

We are looking for applicants with a Bachler’s Degree or equivalent experience in Health Care Field, Care Coordination, or Social Work. Applicant must have ability to work with patients/families of all ages and in a variety of settings, work independently while collaborating with other professionals, working knowledge of health care industry, caregiving, chronic disease management, familiar with a wide variety of community resources, excellent verbal, written and computer literacy. Applicants must also have the ability to model our values and be vaccinated for COVID.

Benefits

In addition to our highly accessible central location in Williamsburg, Peninsula Agency on Aging offers a competitive hourly rate, medical, dental, and vision coverage, vacation and sick leave, agency paid life insurance, 403b plans, paid holidays, and an inclusive work environment that is flexible, friendly, positive, and rewarding.

Full-time, M-F, 8:30 am – 5:00 pm, 40 hours/week, Pay Range: $19.23 - $20.38

Individuals age 60+ encouraged to apply.

Senior Friendly Workplace, Inclusive Workplace, Equal Opportunity Employer, Affirmative Action Employer, Drug free workplace

Please apply online at http://www.paainc.org and select “About Us” then “Employment Opportunities.”

Type: Full-time
Pay: $19.23 to $20.38 per HOUR