Post-Acute Transitions Navigator (RN)

CareSource; United States; Remote; USD 63,000 - 100,000; Full time

Job summary

CareSource in Ohio is seeking a Transitions Coordinator- Post Acute to monitor and manage member care transitions between long-term care, respite facilities, and HCBS waivers through clinical review and benefits management.

The role partners with ICT members, care coordinators, and providers to ensure timely, compliant transitions and accurate enrollment decisions, while maintaining eligibility and documenting processes.

Qualifications

• Completion of an accredited RN degree program or Social Worker licensure per state requirements.
• BSN preferred when available.
• 3+ years of experience in case management and/or managed care.

Responsibilities

• Acts as liaison within ICT to support coordination of level of care transitions (long-term care, respite, HCBS waivers).
• Ensure timely reviews and enrollment/disenrollment to maintain regulatory compliance.
• Verify eligibility and demographics during reviews and maintain benefit eligibility during transitions.
• Coordinate clinical documentation and support care plans as needed.
• Collaborate with care coordinators, waiver coordinators, providers and stakeholders for safe transition planning.

Skills

Interdisciplinary teamwork

Communication skills

Time management

Critical thinking

Proficient with mobile devices

Education

RN degree or Social Worker licensure

BSN preferred

Case management certification (CCM) preferred

Tools

Microsoft Office Suite

Job description

CareSource in Ohio is seeking a Transitions Coordinator- Post Acute to monitor and manage member care transitions between long-term care, respite facilities, and HCBS waivers through clinical review and benefits management.

The role partners with ICT members, care coordinators, and providers to ensure timely, compliant transitions and accurate enrollment decisions, while maintaining eligibility and documenting processes.