Care Transition Specialist - Hybrid (Remote + Travel)

Molina Healthcare, Inc.; Long Beach (CA); Hybrid; USD 36,000 - 82,000; Full time

Benefits offered by this job

Mileage reimbursement

Hybrid work model

Job summary

Molina Healthcare, Inc. is seeking a licensed Behavioral Health Transition of Care Coordinator for a hybrid role. You will travel to local hospitals to meet with patients, support discharge planning, and coordinate post-discharge services to prevent readmissions.

Requires a BH licensure (LCSW/LMSW/LPCC/LMFT/PhD/PsyD), strong coordination skills, and 2+ years in health care or discharge planning. Mileage reimbursement and standard office tools provided.

Qualifications

• At least 2 years experience in health care with 1 year in discharge planning, care management or behavioral health.
• Active, unrestricted licenses for listed behavioral health roles in the state of practice.
• Valid driver's license and reliable transportation for job-related travel.
• Knowledge of the Care Transitions Intervention (CTI) or similar model.
• Background in discharge planning and/or home health settings.
• Ability to work independently with minimal supervision.
• Excellent communication, problem-solving and time-management skills.
• Proficiency in MS Office and related software.

Responsibilities

• Supports care transition activities for members from hospital admission through post-discharge.
• Follows a 30-day program and coordinates transitions to other settings to reduce readmissions.
• Collaborates with discharge planners, hospitalists, providers, facility staff and families.
• Ensures transitions have adequate caregiving, medical and medication oversight.
• Coordinates with ancillary providers and public services to arrange needed resources.
• Conducts hospital and home visits, including high-risk members post-discharge.
• Educates members on medication management, follow-up care and self-management.
• Uses motivational interviewing and Molina clinical guidelines to support change.
• Assesses barriers to care and facilitates access to services.
• Facilitates ICT meetings and interdisciplinary collaboration.
• Provides guidance to non-behavioral health care managers as appropriate.
• Travel may comprise 40–50% of duties depending on state/contractual requirements.

Skills

Care coordination

Discharge planning

Behavioral health

Time management

Communication skills

Travel readiness

Education

Licensed behavioral health clinician license (LCSW/LMSW/LPCC/LMFT/PhD/PsyD)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a licensed Behavioral Health Transition of Care Coordinator for a hybrid role. You will travel to local hospitals to meet with patients, support discharge planning, and coordinate post-discharge services to prevent readmissions.

Requires a BH licensure (LCSW/LMSW/LPCC/LMFT/PhD/PsyD), strong coordination skills, and 2+ years in health care or discharge planning. Mileage reimbursement and standard office tools provided.