About NYC Health + Hospitals:
Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible
NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description:
Summary of Duties and Responsibilities:
Patients transitioning out of the acute inpatient care setting—including those discharged to home, shelter, or skilled nursing settings, among others—remain among the most vulnerable to experiencing fragmentation and gaps in care, increasing risk for preventable adverse outcomes and downstream costs of care. Safety net hospitals and health systems face unique challenges in delivering effective transitional care in the post-inpatient period, serving a patient population with an overall higher risk of readmission and greater unmet behavioral health, economic, housing and social needs. Meeting these needs requires strong collaboration, coordination, integration, and management of care planning and delivery across disciplines within and beyond the hospital inpatient setting and outside the health care sector.
Across NYC Health + Hospitals, the Transitional Care Management (TCM) program is a standardized and systemwide program that aims to support successful transitions for high-risk patients from hospital inpatient to community settings. Within the program, Transitional Care Coordinators (TCCs) and Transitional Care Managers work collaboratively alongside interdisciplinary teams to perform transitional care activities, including in both discharge planning and post-discharge monitoring phases. During the inpatient admission, the patient is screened for root causes of admission, unmet medical or social needs, and other re-admission risks. Staff then work with patients, outpatient caregivers and providers, and the inpatient interdisciplinary team to develop and implement a care plan customized to the patient’s needs. Upon discharge, transitional care staff monitor the patient with regular callbacks for 30 days post-discharge. Though operationalized by staff embedded within care teams at each acute care hospital, the TCM program is a systemwide program leveraging standardized operational guidance, workforce training, program policies, and monitoring and evaluation tools.
The Training Director for the Transitional Care Management (TCM) program will be responsible for developing and implementing a comprehensive training and workforce development program across our 11-hospital system, aiming to ensure that TCM staff, including Transitional Care Coordinators (TCCs) and transitional nurse care managers, are equipped with the skills and knowledge to deliver high-quality transitional care services. Reporting directly to the Program Director of TCM, the Training Director will collaborate closely with the TCM Program Director, the Central Office TCM implementation team, and other Central Office training stakeholders to design training curricula, produce operational guides and educational materials, deliver in-person and virtual training programming, and oversee continuous professional development. The Training Director will play a key role in enhancing staff competency, standardizing practices, fostering a culture that is patient-centered, culturally sensitive and trauma-informed, and improving patient outcomes through multifaceted and innovative training strategies.
The responsibilities of the Training Director will include but are not limited to:
Minimum Qualifications:
NYC Health and Hospitals offers a competitive benefits package that includes:
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