Transition Specialist

Jobtailor; Deutschland; Remote; EUR 52.000 - 73.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a dedicated Care Coordinator to manage member transitions across health care settings in Wisconsin. The role emphasizes timely, safe transitions and close collaboration with care teams to align services with enrollment plans.

Responsibilities include educating transition enrollees about services, developing individualized care plans, tracking transition metrics, drafting educational materials, and supporting care coordination teams while ensuring compliance with policies and

Qualifikationen

• Bachelor's degree required.
• 2-4 years of related healthcare or behavioral health experience.
• Familiarity with Wisconsin Medicaid and ability to manage high call volumes.
• Ability to assess and develop individualized care plans.
• Availability Monday–Friday, 8–5 CST.

Aufgaben

• Identify, oversee, and manage coordination of member transitions in the community.
• Ensure timely and safe transitions between various levels of health care services.
• Coordinate care plans with community care coordinators.
• Educate transition enrollees about services, requirements, limitations, and exclusions.
• Support care coordination teams, providers, and healthcare team members in developing transition plans.
• Assist with transitions based on enrollment or transition-of-care services.
• Identify new member enrollees requiring transition services.
• Ensure existing authorizations are honored during transitions.
• Serve as a resource for members, families, and caregivers.
• Track and maintain transition metrics and document transition-of-care information.
• Draft educational materials and resources.
• Assist with developing education and training programs.
• Evaluate member needs and available resources and recommend and facilitate care plans.
• Coordinate between members, caregivers, and care provider teams.
• Interact with healthcare providers to facilitate care coordination.
• Perform other assigned duties and comply with policies and standards.

Kenntnisse

Care Coordination

Transition Management

Individualized Care Plans

Wisconsin Medicaid Familiarity

Healthcare Experience

Ausbildung

Bachelor's degree

Jobbeschreibung

• Identify, oversee, and manage coordination of member transitions in the community
• Ensure timely and safe transitions between various levels of health care services
• Coordinate care plans with community care coordinators
• Educate transition enrollees about services, requirements, limitations, and exclusions
• Support care coordination teams, providers, and healthcare team members in developing transition plans
• Assist with transitions based on enrollment or transition-of-care services
• Identify new member enrollees requiring transition services
• Ensure existing authorizations are honored during transitions
• Serve as a resource for members, families, and caregivers
• Track and maintain transition metrics and document transition-of-care information
• Draft educational materials and resources
• Assist with developing education and training programs
• Evaluate member needs and available resources and recommend and facilitate care plans
• Coordinate between members, caregivers, and care provider teams
• Interact with healthcare providers to facilitate care coordination
• Perform other assigned duties and comply with policies and standards

Requirements

• Bachelor's degree required
• 2-4 years of related experience
• Equivalent experience may be acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position
• Background in healthcare and/or behavioral health
• Familiarity with Wisconsin Medicaid
• Ability to manage a high volume of inbound and outbound calls
• Ability to complete assessments and develop individualized care plans
• Availability Monday to Friday, 8-5 pm CST

Core Competencies

Demonstrates expertise in care coordination and transition management within healthcare settings, with a strong focus on developing individualized care plans and educating members about available services. Proficient in tracking metrics and collaborating with healthcare providers to ensure seamless transitions and compliance with standards.

Highest-signal resume keywords

• Care Coordination
• Transition Management
• Individualized Care Plans
• Wisconsin Medicaid Familiarity
• Healthcare Experience

Hard Skills

• Assessment Completion
• Care Plan Development
• Transition Metrics Tracking
• Educational Material Drafting
• Resource Evaluation

Soft Skills

• Communication
• Interpersonal Skills
• Organizational Skills
• Team Support

Certifications & Qualifications

• Bachelor's Degree

Industry Keywords

• Healthcare
• Behavioral Health
• Care Coordination Teams
• Transition-of-Care Services
• Member Transitions