Post Care Transitions Specialist (Mid State)

Trillium Health Resources; North Carolina; Hybrid; USD 56,000 - 70,000; Full time

Benefits offered by this job

Health Insurance with no premium for (

Flexible Spending Accounts

24 days PTO + 12 holidays

401k with 5% employer match

Job summary

Trillium Health Resources seeks a Post Care Transitions Specialist to coordinate care planning and discharge processes for individuals with complex needs. The role emphasizes collaboration with licensed clinicians, RNs, and peer supports to ensure smooth transitions from inpatient or adult care settings.

You will develop plans, monitor progress, and document outcomes across multiple state systems, while supporting individuals in rural counties of the Mid State region.

Qualifications

• Fully licensed by the NC governing board regulating Human Services professions.
• RN license in NC with four years MH/DD/SA experience (optional path).
• Master’s degree in human services with one year MH/DD/SA experience.
• Bachelor’s degree in human services with two years MH/DD/SA experience.
• Bachelor’s degree in another field with four years MH/DD/SA experience.
• License/certification may be accepted as noted.
• Must have a valid driver’s license.
• Must reside within Trillium’s Mid State Region (Anson, Guilford, Montgomery, Randolph, Richmond).
• Must travel within catchment as required.

Responsibilities

• Provide care coordination and discharge/transition planning.
• Collaborate with licensed Clinicians, RNs, and Peer Support Specialists for discharge/transition planning.
• Assess member needs who transitioned into supportive housing to determine services needed.
• Complete assessments as needed.
• Ensure timely documentation of planning and coordination in software platforms and state databases.

Skills

Licensed by NC board

RN license in NC

Driver's license

Travel within catchment

Education

Master’s degree in human services

Bachelor’s degree in human services

Bachelor’s degree in any field

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Post Care Transitions Specialist (Mid State)

Full Time Professionals *Trillium office based location as specified below: US 2 Attachments

2 days ago Requisition ID: 3455

Salary Range: $56,270.00 To $69,898.00 Annually

Pay Plan Title: Post Care Transitions Specialist

Working Title: Post Care Transitions Specialist

FLSA Status: Exempt

Posting Salary Range: $56,270 - $69,898

Office Location: Remote within Trillium’s Mid State Region (See requirements section for included counties)

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Why Work for Us ?

Trillium believes that empowering others begins with supporting our team. We offer our employees:

• Competitive benefits and work-from-home options for most positions
• Opportunities for professional growth in a diverse inclusive culture

Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.

What We’re Looking For

Trillium Health Resources has a career opening for a Post Care Transitions Specialist to join our team! The Post Care Transitions Specialist is responsible for providing care coordination (treatment planning, assessment, monitoring, educating, and referral/linking) to individuals identified in the Transitions to Community Living Initiative Special Needs Populations (TCLI) by targeting those with chronic, unresolved, or complex physical, behavioral health, and social determinant needs. The Post Care Transitions Specialist will provide care planning as well as discharge and transition planning from Adult Care Homes, inpatient units, and detention centers with foundations in national evidence based and informed standards providing whole person care.

On a typical day, you might:

• Work collaboratively with licensed Clinicians, Registered Nurses, and Peer Support Specialists to ensure successful discharge/transition planning/post transition monitoring.
• Provide care coordination/care management to assigned TCL individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid, or multi-morbid conditions.
• Assess member’s needs who have transitioned into supportive housing to determine if additional support and services are needed for continued independent living.
• Complete assessments as needed.
• Ensure timely and accurate documentation of all planning and coordination efforts in multiple software platforms and State database systems.

Employee Benefits:

Trillium knows that work/life balance is essential. That’s why we offer:

• Typical working hours: 8:30 am – 5:00 pm, flexible work schedules with some roles with management approval.
• Work-from-home options available for most positions
• Health Insurance with no premium for employee coverage
• Flexible Spending Accounts
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies

Qualifications

Required:

• Fully licensed by the NC governing board regulating Human Services professions; OR
• Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served. OR
• A graduate of a college or university with a Master’s degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling; OR
• A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; OR
• A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
• License and/or certification may be accepted as noted.
• Must have a valid driver’s license.
• Must reside within Trillium’s Mid State Region, which includes the following counties: Anson, Guilford, Montgomery, Randolph, and Richmond.
• Must be able to travel within catchment as required.

Preferred:

• Experience and knowledge of peer support and experience working with individuals who are certified peer support specialists.

Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.

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Attachments (2)

Tips for Applying to or Interviewing with Trillium 2.3.26 .pdf

MCSCT038 - Post Care Transitions Specialist.pdf