Post Care Transitions Specialist (Mid State)

Trillium Health Resources; United States; Remote; USD 56,000 - 70,000; Full time

Benefits offered by this job

Health Insurance and 401k

Remote work options

Paid time off & holidays

PSLF eligible employer

Local government pension

Job summary

Trillium Health Resources is seeking a Post Care Transitions Specialist to coordinate care planning, assessments, and transitions for individuals with chronic health and behavioral health needs. This exempt role supports discharge planning from adult care homes, inpatient units, and detention centers, following evidence-based whole person care standards.

Responsibilities include collaboration with clinicians and peer supports, managing care for TCL individuals, and thorough documentation in

Qualifications

• Must meet NC licensure as a human services professional or RN or an advanced degree with MH/DD/SA experience.
• Must have valid NC driver’s license.
• Must reside within Trillium’s Mid State Region (Anson, Guilford, Montgomery, Randolph, Richmond) and be able to travel within catchment.

Responsibilities

• Coordinate care planning, assessments, monitoring, and referrals for TCL individuals.
• Collaborate with licensed clinicians, RNs, and peer supporters to plan discharge/transition.
• Assess needs of individuals transitioning to supportive housing to determine additional services.
• Complete assessments as needed.
• Document planning and coordination in multiple software platforms/state systems.

Skills

Travel readiness

Peer support experience

Education

NC licensed human services professional

RN licensed in NC

Master’s degree in human services

Bachelor’s degree in human services

Bachelor’s degree in any field with MH/DD/SA experience

Substance abuse professional with supervised experience

Job description

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)

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:

• A collaborative, mission-driven work environment
• 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

• 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
• NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies

Required Qualifications

• Must meet QP status:
  • 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.

Deadline for Application: Thursday October 15, 2026, at 11:59PM

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.

#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth