Hybrid Transition of Care Coach - Behavioral Health

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

Benefits offered by this job

Mileage reimbursement

Job summary

Molina Healthcare is seeking a licensed behavioral health clinician to serve as a Transition of Care Coordinator. The hybrid role combines home-based work with travel to local hospitals to ensure complete discharge planning and prevent readmissions.

Applicants must reside in Pierce County, WA and hold an active WA license. Travel is 40–50% as required by state/contractual obligations. Competitive benefits are offered.

Qualifications

• 2+ years in health care with discharge planning or care management
• Active WA license: LICSW, LASW, LMHC, LMHCA, LMFT, ALICSW, ALASW, PhD or PsyD
• Valid driver's license and reliable transportation
• Knowledge of CTI or similar transition model
• Discharge planning or home health background
• Knowledge of community resources
• Strong communication and time-management skills
• Ability to work independently with minimal supervision

Responsibilities

• Provide 30-day transition support from hospital admission through post-discharge.
• Collaborate with discharge planners, hospitalists, outpatient providers and families.
• Ensure safe transitions with adequate caregiving and medical oversight.
• Coordinate with ancillary providers and public agencies for services/equipment.
• Conduct face-to-face hospital visits and post-discharge home visits for high-risk members.
• Reassess needs using the Coleman Care Transition model post-discharge.
• Educate members on medications, follow-up care and directives.
• Participate in ICTs and interdisciplinary care team meetings.

Skills

Care coordination

Discharge planning

Behavioral health

Time management

Prioritization

Problem solving

Verbal communication

Written communication

MS Office proficiency

Independent work

Professional relationships

Tools

License verification tools

Job description

Molina Healthcare is seeking a licensed behavioral health clinician to serve as a Transition of Care Coordinator. The hybrid role combines home-based work with travel to local hospitals to ensure complete discharge planning and prevent readmissions.

Applicants must reside in Pierce County, WA and hold an active WA license. Travel is 40–50% as required by state/contractual obligations. Competitive benefits are offered.