Remote Care Transition Coach for Hospital Discharges

Molina Healthcare; Sparks (NV); On-site; USD 34,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Transition Nurse/Coordinator to support a 30-day post-discharge program and oversee transitions from hospital to home or facility settings. The role focuses on reducing readmissions and coordinating with hospital staff, providers, and families.

This is primarily a work-from-home position with strong emphasis on independent work and timely communication. Required LVN/LPN licensure, 2+ years in care management or discharge planning, and proficiency with

Qualifications

• Minimum 2 years in health care with care management or discharge planning experience.
• Licensed LVN/LPN license must be active where required by state contracts.
• Valid driver's license and reliable transportation for job-related travel.

Responsibilities

• Supports a 30-day post-discharge program and coordinates transitions from hospital to various settings.
• Collaborates with discharge planners, hospitalists, providers, and family networks to reduce readmissions.
• Educates members on medication management, follow-up care, and available community resources.
• Conducts face-to-face or home visits for high-risk members as needed.
• Facilitates interdisciplinary care team meetings and provides patient-centered coordination.

Skills

Care coordination

Communication

Time management

Problem solving

Motivational interviewing

Independent work

Team collaboration

Education

Licensed Practical Nurse (LPN/LVN) license

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Transition Nurse/Coordinator to support a 30-day post-discharge program and oversee transitions from hospital to home or facility settings. The role focuses on reducing readmissions and coordinating with hospital staff, providers, and families.

This is primarily a work-from-home position with strong emphasis on independent work and timely communication. Required LVN/LPN licensure, 2+ years in care management or discharge planning, and proficiency with