Transition Care Coordinator; Southern Region

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Position Number: 41014

FLSA Status: Exempt

Posting Salary Range:$53,045 - $66,837

Office

Location:

Remote in North Carolina within Trillium’s Southern Region. Counties included:
Bladen, Brunswick, Columbus, Hoke, Lee, Moore, New Hanover, Robeson, or Scotland.

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) that manages serious mental health, substance use, traumatic brain injury, and intellectual/developmental disability services in North Carolina. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time.

Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

The Transition Care Coordinator (TCC) is responsible for providing care coordination (treatment planning, assessment, monitoring, educating, and referral/linking) to individuals identified in the Transitions to Community Living Initiative Special Needs Populations (TCLI) by targeting those chronic, unresolved, or complex physical, behavioral health, and social determinant needs. TCC will provide care planning as well as discharge and transition planning from Adult Care Homes, inpatient units, and detention centers with foundations in national evidence based and informed standards providing whole person care.

If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!

• Work collaboratively with licensed Clinicians, Registered Nurses, and Peer Support Specialists to ensure successful discharge/transition planning/post transition monitoring.
• Provides care coordination/care management to assigned TCL individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid or multi-morbid conditions.
• Assess member’s needs who have transitioned into supportive housing to determine if additional support and services are needed for continued independent living.
• Completes Care Management Comprehensive Assessment and other assessments.
• Ensure timely and accurate documentation of all transition planning/post transition planning and coordination efforts in Trillium Health Resources software platform and multiple State database systems.

• Typical working hours are 8:30am-5pm
• A remote work option available for most positions
• Health Insurance - no premium for employee coverage
• Flexible Spending Accounts
• Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Education/

Experience:

Master's degree in a human services field or licensure as a RN and one (1) year of relevant experience working directly with individuals with SED or SMI;
OR
Bachelor's degree in a human services field or licensure as a RN and three (3) years of relevant experience working directly with individuals with SED or SMI.

Relevant experience is defined as experience working with individuals with behavioral/mental health, substance use and/or I/DD.

Preferred Experience:

Experience and knowledge of peer support and experience working with individuals who…