ARISE’s mission is to work with people of all abilities to create a fair and just community in which everyone can fully participate.Job Summary: The Transition Specialist leads all efforts for individuals residing in skilled nursing facilities to facilitate and coordinate the safe discharge and transition process back into the community through appropriate referral process, development of a comprehensive plan, advocacy, and one-on-one direct support.Qualifications:• Bachelor’s Degree in human services or a related field, and satisfactory professional experience inworking with individuals with disabilities and/or seniorsOR• Associate degree and two years of satisfactory professional experience in working with individualswith disabilities and/or seniorsAND• Proficiency in Microsoft Word, Excel, and multiple databases• Clean driver license and reliable transportation for travel in multi-county regionEssential Functions:• Actively participate, develop and facilitate a person-centered discharge plan collaborating withsocial workers, service coordinators, case managers, family members, guardians, advocates, etc.to secure qualified housing and coordinate home and community services prior to transition andsubsequently ensure continuation of services post-transition, for up to 11 months• Submit appropriate referrals to Medicaid-based community services and support systems, as wellas other supports, services, and programs available to participants• Receive referrals from the Lead Transition Manager and ensure the transition process is followedthrough for each individual• Provide counseling and information for individuals and families who are considering, or are in theprocess of, transitioning back to the community• Coordinate resident visits to skilled nursing facilities and provide potential participants withobjective information regarding available home and community based services• Explain peer mentor program to potential participants and if appropriate provide necessary referral• Collaborate with supervisor to determine and resolve barriers to transition, including barriersrelated to housing, medical condition, or counseling need• Ensure all significant participant data and service provision details are current and accurate andthat they are documented in a timely manner into applicable databases• Attend trainings, meetings and other agency-related activities• Uphold code of ethics, code of conduct and all ARISE policies and procedures• Exercise sound judgment as a matter of course, and hold protected health information and othersensitive information in the strictest of confidence in accordance with ARISE and HIPAA policies• Consistently represent ARISE professionally by demonstrating the highest ethical standards

　　Minimum Salary: 19.25Maximum Salary: 21.50Salary Unit: Hourly