Transition Specialist

Reports to:  Core Services Manager 

Status: FT - Non-Exempt

Hours per week: 40

GENERAL DESCRIPTION

The Transition Specialist will support consumers in transitioning from skilled nursing facilities back into the community, empowering them to live as independently as possible.

ESSENTIAL JOB FUNCTIONS

• Communicate with MFP/Show-Me Home Social Services personnel and nursing home social workers to identify appropriate candidates for transition services.
• Assist consumers in securing appropriate housing.
  • Coordinate transition plans between consumers and skilled nursing facilities.
  • Provide follow-up support to ensure successful community reintegration and independent living.
  • Maintain accurate documentation of consumer interactions and complete administrative tasks as assigned.
  • Advocate effectively on behalf of consumers.
  • Maintain regular and reliable attendance.

REQUIRED SKILLS

Associate’s degree in Social work, Human Services, Rehabilitation Counseling, Psychology, Sociology, or a related field; or a high school diploma/GED with 2–3 years of relevant experience in:

• Social services
• Disability support
• Community outreach
• Housing assistance
• Healthcare or long-term care coordination

Valid Driver’s License

PREFERRED SKILLS

• Bachelor’s degree in social work, Human Services, Rehabilitation Counseling, Psychology, Sociology, or a related field.
• Experience working with individuals transitioning from institutional settings to community-based living.
• Familiarity with Medicaid waivers, housing programs, and community resources.
• Knowledge of disability rights, independent living philosophy, and person-centered planning.
• Strong documentation and case management skills.
• Proficiency in Microsoft Office and case management software
• Bilingual or multilingual abilities are a plus
•  

Core Competencies

• Effective Communication: Clearly conveys information to consumers, families, and professionals in both verbal and written formats.
• Interpersonal Skills: Builds trust and rapport with individuals from diverse backgrounds, including those with physical, mental, or emotional disabilities.
• Advocacy: Champions the rights and needs of consumers, promoting independence and access to community resources.
• Problem Solving: Identifies challenges and implements practical, person-centered solutions.
• Organizational Skills: Manages multiple tasks, maintains accurate records, and meets deadlines consistently.
• Empathy and Compassion: Demonstrates genuine care and understanding for the experiences and needs of others.
• Adaptability: Adjusts to changing circumstances, consumer needs, and service environments.
• Cultural Competence: Respects and responds appropriately to cultural differences and individual preferences.
• Technology Proficiency: Utilizes case management systems, email, and Microsoft Office tools effectively.
• Team Collaboration: Works cooperatively with internal staff, external partners, and service providers.

 WORK ENVIRONMENT & PHYSICAL DEMANDS

This position requires frequent travel throughout the Kansas City Metropolitan area to meet with consumers, service providers, and community partners. The role may involve physically demanding tasks such as kneeling, lifting up to 25 pounds, and assisting with mobility equipment or home setup. Work is performed in a variety of environments, including nursing facilities, private residences, and community settings. Flexibility and the ability to adapt to different physical and social environments are essential.

OTHER DUTIES

Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities and activities may change at any time with or without notice.

The Whole Person is an equal opportunity employer committed to hiring staff members reflecting the great diversity of our community.  Reasonable accommodation will be made upon request.  People with disabilities are strongly encouraged to apply.