Post Care Transitions Specialist (North Central)

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

Benefits offered by this job

Competitive benefits

Work-from-home options

Professional growth

Inclusive culture

Job summary

Trillium Health Resources is hiring a Post Care Transitions Specialist to join our North Central team. This role focuses on care coordination, discharge planning, and transition support across settings for individuals with complex health and social needs.

Responsibilities include collaborating with licensed clinicians and nurses, assessing needs, documenting plans in multiple systems, and ensuring timely follow-up to support independent living and community integration.

Qualifications

• Fully licensed by the NC governing board regulating Human Services professions; OR
• RN licensed in NC with four years of MH/DD/SA experience
• Master’s degree in a human service field with 1 year MH/DD/SA experience or addiction counseling background
• Bachelor’s in human services with 2 years MH/DD/SA experience or addiction counseling background
• Bachelor’s in a field other than human services with 4 years MH/DD/SA experience
• License and/or certification may be accepted as noted
• Must have a valid driver’s license
• Must reside within Trillium’s North Central Region and counties listed
• Must be able to travel within catchment
• Must be legally authorized to work in the United States without sponsorship

Responsibilities

• Collaborate with licensed clinicians, RNs, and peer support to ensure discharge/transition planning
• Provide care coordination to TCL individuals with MH/DD/SA needs
• Assess needs of members transitioned into supportive housing
• Complete assessments as needed
• Ensure timely documentation of planning and coordination in multiple software platforms

Skills

Licensed NC professional

RN licensed in NC

Master’s in human services

Bachelor’s in human services

Bachelor’s in non-human services with

Driver’s license

Willing to travel within catchment

US work authorization

Education

Master’s degree in human services

Bachelor’s degree in human services

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

RN licensure in NC

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 (North Central)

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

6 days ago Requisition ID: 3494

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 North Central 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 members’ 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 North Central Region, which includes the following counties: Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrrell, Washington, and Wilson.
• Must be able to travel within catchment as required.
• Must be legally authorized to work in the United States without requiring sponsorship for employment now or in the future (ex: OPT F-1, J-1).

Preferred:

• Experience and knowledge of peer support and experience working with individuals who are certified peer support specialists.
• Bachelor's in human services field with 3+ years’ experience with the MHSU population.

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.

Attachments (2)

Tips for Applying to or Interviewing with Trillium 10.9.26.pdf

MCSCT038 - Post Care Transitions Specialist.pdf