Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.

Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.

Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.

Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.

Job Summary
The Transition Care Coordinator, Transitions and Post-Acute Care (TCC-TPAC) facilitates the collaborative interdisciplinary process of care management encompassing assessment, planning, facilitation, care coordination, evaluation appropriate to the scope of licensure. The TCC-TPAC advocates for options and services to meet the patient's and families comprehensive health needs through communication and available resources to promote quality cost-effective outcomes for the identified patient population. TCC-TPAC is accountable for outsourced patient's and collaborates effectively in order to meet patient care needs across the appropriately deemed continuum of care, provide family support, manage the length of stay, and promote efficient utilization of resources. The TCC-TPAC participates in quality improvement activities, exemplifies professionalism, and promotes a customer-friendly environment by utilizing ServiceFIRST behaviors in interactions with patients, families, and staff members.

Minimum Qualifications

Degree:
Bachelors required
Masters (Preferred)

Licenses & Certification:
a. Licensed to practice nursing in the state of TX
b. CCM or ACM or ANCC is required within 2 years of employment
c. Basic Life Support

Work Experience: Four (4) years of Experience as a Registered Nurse and 2 Years of Experience in Case Management, Quality Management, Population Health, Chronic Disease management

Management Experience: Two (2) years of Experience in Leadership/Clinical preferred.

Communication Skills: Above average Verbal Communication (Heavy Public Contact), Exceptional Verbal (Public Speaking), Writing/ Correspondence, Writing/ Reports

Languages:
Bilingual Skills: Spanish and Vietnamese Preferred

Proficiencies: MS Word, MS PowerPoint, MS Excel, MS Outlook, PC

Job Attributes:

Knowledge/ Skills/ Abilities: Analytical, Mathematics, Medical Terms

Work Schedule: Weekends, Holidays, Flexible, Travel, On Call, Telecommute