Care Transitions Coach: Discharge & Readmission Focus

Molina Healthcare; Lexington (KY); Sur place; USD 71 864 000 - 147 569 000; Plein temps

Avantages offerts par ce poste

Competitive benefits

Résumé du poste

Molina Healthcare in Lexington, KY is hiring a Care Transition Specialist to support hospital discharge planning and post-discharge coordination. You will oversee transitions from acute care to home or facility settings, aiming to reduce readmissions and ensure timely access to services.

The role requires collaborating with hospital staff, providers, and families, conducting home visits when needed, and applying CTI or similar models.

Qualifications

• At least 2 years in health care, with hospital discharge planning or care management experience.
• Licensed behavioral health clinician (LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT/PhD/PsyD) active in state of practice.

Responsabilités

• Support care transitions from hospital to home or facility settings.
• Collaborate with discharge planners, hospitalists, and providers.
• Educate and support members on transition pillars and care plans.
• Conduct face-to-face visits and post-discharge outreach as needed.
• Coordinate ICT meetings and care team participation.

Connaissances

Discharge planning

Care transitions

Communication skills

Time management

Collaboration

Formation

Behavioral health license

Outils

CTI model

Microsoft Office

Description du poste

Molina Healthcare in Lexington, KY is hiring a Care Transition Specialist to support hospital discharge planning and post-discharge coordination. You will oversee transitions from acute care to home or facility settings, aiming to reduce readmissions and ensure timely access to services.

The role requires collaborating with hospital staff, providers, and families, conducting home visits when needed, and applying CTI or similar models.