Hybrid Transition of Care Coach — Behavioral Health

Jobtome; Spokane (WA); Hybrid; USD 36,000 - 82,000; Full time

Benefits offered by this job

Mileage reimbursement

Hybrid work arrangement

Job summary

Molina Healthcare is seeking a licensed Behavioral Health professional to serve as a Transition of Care Coordinator. The role is hybrid, combining remote work with travel to local hospitals to support discharge planning and reduce readmissions.

Ideal candidates reside in Spokane, WA, hold WA licenses such as LICSW, LMHC, LMFT, and have 2+ years in health care or discharge planning. Mileage reimbursement is included and hours are Mon–Fri, 8 AM–5 PM PST.

Qualifications

• Minimum 2 years in health care with hospital discharge planning or care management experience.
• Active and unrestricted licensed behavioral health credential in WA state (LICSW/LASW/LMHC/LMHCA/LMFT/ALICSW/ALASW/PhD or PsyD).
• Valid driver's license and reliable transportation for local travel.
• Knowledge of Care Transitions Intervention (CTI) or similar model.

Responsibilities

• Provide transition of care coordination from hospital admission through discharge to other settings.
• Collaborate with discharge planners, hospitalists, outpatient providers, facility staff and family.
• Ensure safe transitions with adequate caregiving, medical and medication oversight.
• Coordinate with ancillary providers and public agencies to arrange services and equipment.
• Conduct face-to-face visits during hospitalization and home visits post-discharge for high-risk members.
• Reassess member needs using the Coleman Care Transition model post-discharge.
• Educate members on medication management, follow-up care, and use of personal health records.
• Lead interdisciplinary care team meetings and advise non-behavioral health managers as needed.
• Travel 40-50% locally as required by state/contract.

Skills

Care coordination

Discharge planning

Communication

Education

Licensed behavioral health clinician license

Tools

MS Office

Job description

Molina Healthcare is seeking a licensed Behavioral Health professional to serve as a Transition of Care Coordinator. The role is hybrid, combining remote work with travel to local hospitals to support discharge planning and reduce readmissions.

Ideal candidates reside in Spokane, WA, hold WA licenses such as LICSW, LMHC, LMFT, and have 2+ years in health care or discharge planning. Mileage reimbursement is included and hours are Mon–Fri, 8 AM–5 PM PST.