Care Transition Supervisor

Job Code: CTS - 114
Revision Date: August 14, 2026

Starting Salary: $21.52 hourly; $44,768 annually

FLSA:
Exempt

We are an agency committed to innovative behavioral health services in trauma-informed care that promote healing and recovery to instill a sense of empowerment and foster a lifelong sense of resilience.

The purpose of this job is to provide supervision of Preadmission Screening and Resident Review (PASRR) MI & IDD, Enhanced Community Coordination and Diversion Coordination. Responsibilities include monitoring staff and program performance, enforcement of policies and procedures that enable consumers to provide appropriate services as needed and comply with HHSC, accreditation bodies, and payor source requirements. Additionally, allocates time to MFP TST functions as directed by Director of Care Transitions and in alignment with TST Contractor form.

This class works independently, under limited supervision, reporting major activities through periodic meetings.

The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.

• Supervises, directs, and evaluates assigned staff, processing employee concerns and problems, directing work, counseling, disciplining, and completing employee performance appraisals.
• When deemed needed, provides habilitation coordination to clients who reside in nursing facilities and receive services through the PASSR, Medicaid Waiver and/or non-waiver programs, which include monitoring and oversight of client care.
• Coordinates, assigns and reviews of work and establishes work schedules; maintains standards; monitors status of work in progress; inspects completed work assignments; answers questions; gives advice and direction as needed.
• Provides administrative and clinical supervision to Program Staff to manage day-to-day progress with services provided
• Actively participates in mid management level center-wide and divisional goal/objective setting meetings. Relay operational information between the team and upper management. Coordinates two-way communication of plans and monitors reports outlining achievement. Participates in the design of unit services and training.
• Provides leadership and development opportunities for staff and promotes, enables and executes continuous improvement activities within the department.
• Establishes good working relationships with community groups, funders, and other organizations and represents EHN and division at community activities to enhance, communicate and achieve goals of the organization.
• Effectively completes necessary monthly encounters with all clients on assigned caseload and utilizes the tracking tools necessary to effectively maintain caseload, provide quality client care, meet performance targets, and ensure high-quality, accurate, and timely submission of all documentation.
• Demonstrates the ability to understand and effectively apply all rules and regulations pertinent to the PASSR, ECC, Diversion Coordination, and Medicaid waiver or non-waiver programs.
• Shows dedication to ethical judgment and maintains compliance with all training requirements to effectively accomplish position duties and meet performance outcomes and targets.
• Completes all program required forms in accordance with HHSC and internal time frames.
• Coordinates educational activities for service coordinators and other EHN staff about available community services and about strategies to avoid nursing facility placement.
• Demonstrates the ability to organize and structure days and times with effective time management skills to successfully fulfill all essential duties.
• Monitors Enhanced Community Coordinator (ECC) caseload to not exceed no more than 30 clients.
• Monitors ECC duties to include pre- and post-transition services, and monthly monitoring to not exceed 365 days after diversion or transition unless additional support is identified; transition planning, linking, and collaboration amongst service coordinators, enrollment specialists, SSLC staff, nursing facility staff, habilitation coordinators, and providers.
• Efficiently works cohesively with program Director and in conjunction with other LIDDA Supervisors, Managers, & Directors to enhance delivery of programs and submit requested data and reports by the target date.
• Meets regularly with assigned staff, maintains outlines of meeting topics and…