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HHA Care Transitions Specialist
Published
Competency-Based Apprenticeship
Industries
O*Net Code
31-1121.00
Rapids Code
1086CBCL
Req. Hours
0
State
NY
Created
Jul 16, 2021
Updated
Jul 16, 2021
Competency-Based Skills
2 skill sets | 13 total skills
Serve as Liaison between Patient or Client/Family and Healthcare Team
Schedule follow up doctor visits
Arrange transportation and accompany client to doctor and other healthcare visits
Ensure a home environment to promote health, example: appropriate and sufficient food, environmental stability, ensure medication and refills available
Assist with medication management as allowed by law
Assist with other therapeutic regimens (e.g., physical therapy, occupational therapy, speech and language therapy)
Provide direct care in accordance with the discharge plan until stabilized to lower risk of re-hospitalization and to avoid unnecessary emergency department visits
Communicate with the healthcare team
Demonstrate how to read & implement the Aide Plan of Care
Demonstrate understanding of hospital discharge plan process including hospital/nursing home policies of meeting client and family prior to discharge
Demonstrate understanding of severity and acuteness of incidents and of alternative treatment locations (if possible) other than emergency department at hospital
Obtain necessary permission to access patient/client medical information for the above
Provide Coaching to Meet Client Care Goals
Demonstrate encouragement of desired and compliant behaviors
Provide emotional support
