Care Transitions Navigator

Molina Healthcare, Inc.; Florida; Presencial; USD 55.000 - 75.000; Jornada completa

Descripción de la vacante

Molina Healthcare, Inc. is seeking a Care Transition Specialist to support transitional care activities from hospital admission through post‑discharge settings.

The role focuses on reducing readmissions and ensuring access to quality, cost-effective services for members at discharge. The ideal candidate will have 2+ years in health care with discharge planning or care management experience, hold an active behavioral health license, and travel 40–50% as required by state contracts.

Formación

• 2+ years in health care with 1+ year in hospital discharge planning, care management or behavioral health.
• Active, unrestricted license as a behavioral health clinician in state of practice.
• Valid driver's license with reliable transportation for travel requirements.
• Familiarity with Care Transitions Intervention (CTI) or similar model.
• Experience in discharge planning and/or home health is preferred.

Responsabilidades

• Support care transition activities from hospital admission through post-discharge settings.
• Coordinate with hospital discharge planners, hospitalists, providers, and families to reduce readmissions.
• Ensure safe transitions with adequate caregiving and medical oversight.
• Collaborate with ancillary providers and public agencies to arrange needed services.
• Conduct face-to-face hospital visits and home visits for high‑risk members as needed.
• Lead ICT meetings and provide education to care teams as appropriate.
• Utilize Coleman Care Transition model for ongoing reassessment after discharge.
• Educate members on medication management, follow-up care, and self-management areas.
• Communicate effectively and maintain professional relationships across settings.

Conocimientos

Time management

Communication skills

Problem solving

Independence

Organizational skills

Microsoft Office

Educación

Licensed behavioral health clinician (LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT/PhD/PsyD)

Herramientas

Microsoft Office

Care Transitions Intervention (CTI)

Descripción del empleo

Molina Healthcare, Inc. is seeking a Care Transition Specialist to support transitional care activities from hospital admission through post‑discharge settings.

The role focuses on reducing readmissions and ensuring access to quality, cost-effective services for members at discharge. The ideal candidate will have 2+ years in health care with discharge planning or care management experience, hold an active behavioral health license, and travel 40–50% as required by state contracts.