Nursing Home Transition (NHT Coordinator)/Human Services
The Nursing Home Transition Coordinator facilitates the safe transition of individuals from nursing facilities to community-based living by coordinating services and supports with participants, families, healthcare providers, and community agencies. This hybrid role requires strong organizational and communication skills, adherence to program requirements, and active participant support throughout the discharge and reintegration process, with opportunities for professional growth and comprehensive training.
About Careertakes
👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Social work.
Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.
Work Location
Hybrid / remote with required in-person community visits across Pennsylvania. Candidates must reside in one of the following counties to complete home visits: Philadelphia, Delaware, Montgomery, Chester, or Bucks County.
Compensation
- $20 - $21 per hour (starting hourly rate)
- Mileage reimbursement for work-related travel
- Paid training period; tuition reimbursement eligibility after one year
Work Environment Requirements
This is a hybrid position requiring both in-office and remote work. When working remotely, employees must maintain reliable high-speed internet access for meetings, systems, and communication. Failure to maintain adequate internet may impact the ability to perform essential job functions.
The role includes regular in-community visits; frequent exposure to outdoor elements and occasional driving in poor weather conditions may be required.
Education & Experience
- Associate’s or Bachelor’s degree in Social Work, Human Services, Nursing, Psychology, Sociology, or related field required (Bachelor’s degree strongly preferred)
- Recent college graduates are encouraged to apply
- Previous experience in care coordination, case management, healthcare, or human services preferred but not required for entry-level candidates
- Knowledge of Medicaid Waiver programs, Long-Term Services and Supports (LTSS), and Home and Community-Based Services (HCBS) is a plus
What Our Confidential Client Offers
- Starting hourly rate: $21/hour, with opportunities for performance-based increases
- Flexible Monday–Friday schedule (no on-call requirements)
- 15 Agency Paid Days Off (including 11 holidays) and 18 PTO days
- Paid training and comprehensive on-the-job mentorship
- Tuition reimbursement opportunities (employees eligible after one year)
- Medical, dental, and vision insurance options; company-paid life insurance with optional additional coverage
- Up to 5% match for 401(k)
Position Overview
The Nursing Home Transition (NHT) Coordinator supports individuals transitioning from nursing facilities to community-based living. You will coordinate with participants, families, service coordinators, healthcare providers, housing resources, and community agencies to develop and implement transition plans that ensure safe, sustainable discharges and community integration.
This role requires accurate, timely documentation and close adherence to program and regulatory requirements. The Confidential Client welcomes both experienced professionals and recent graduates and provides training and mentorship to build capabilities in care coordination and participant-centered service delivery.
Key Responsibilities
- Serve as the primary contact for nursing home residents transitioning into community-based living through the NHT program
- Coordinate transition plans with participants, families, healthcare teams, housing providers, and community agencies
- Arrange housing and essential support services to ensure successful discharge and reintegration
- Monitor participant progress and maintain accurate documentation in compliance with regulatory and organizational standards
- Support outreach, quality assurance initiatives, mentorship activities, and regional travel as needed
Skills & Knowledge
- Experience working with individuals with disabilities or special needs preferred
- Strong assessment, planning, and participant-centered service delivery skills
- Excellent organizational, verbal, and written communication skills, with attention to documentation and compliance
- Ability to work effectively on an interdisciplinary team
- Familiarity with community support systems, housing resources, healthcare, and human services preferred
- Willingness to learn and grow within the organization
Employment Conditions & Clearances
Employment is contingent on successful completion of required clearances:
- PA State Police Background Check (e-PATCH)
- Child Abuse Clearance
- FBI Background Check
- MA Fraud Check
- Social Security Verification
- DMV Check
Equal Opportunity & Hiring Transparency
Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind.
To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.
If you have questions about how your data is used, please contact us directly.
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