Remote LVN/LPN Transition of Care Coach

Molina Healthcare, Inc.; Bakersfield (CA); Remote; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare, Inc. is hiring a Transition of Care Coach LVN/LPN. This remote role requires a valid California LVN/LPN license and operates Monday–Friday, 8am–5pm PST.

The position emphasizes care coordination, discharge planning, and reducing readmissions within a 30-day post-discharge window. Ideal candidates have knowledge of Medi-Cal/Medicare, experience with care transitions, and strong computer skills (Outlook/Excel/Word) with familiarity with Point Click Care or Epic.

Qualifications

• LVN/LPN with active, unrestricted California licensure.
• Experience in care transition or discharge planning preferred.
• Knowledge of Medi-Cal and Medicare.
• Experience with care coordination and working with high-risk populations.

Responsibilities

• Provide support for care transition activities and coordinate member transitions from hospital to other settings.
• Follow member through a 30-day program post-discharge to reduce readmissions.
• Collaborate with hospital discharge planners, hospitalists, providers, facility staff, and families.
• Ensure safe transitions with adequate caregiving and medical oversight; coordinate services and equipment as needed.
• Conduct face-to-face and home visits for high-risk members as required.
• Educate members on transition care pillars and motivate adherence to care plans.
• Participate in ICT meetings and provide inter-disciplinary collaboration.
• May provide consultation on transitions of care with behavioral health and social science teammates.

Skills

LVN/LPN license

Care coordination

Discharge planning

Medi-Cal/Medicare knowledge

Bilingual (preferred)

Travel availability (40-50%)

Microsoft Office proficiency

Education

LVN/LPN license

Tools

Point Click Care

Epic

Outlook

Excel

Word

Job description

Molina Healthcare, Inc. is hiring a Transition of Care Coach LVN/LPN. This remote role requires a valid California LVN/LPN license and operates Monday–Friday, 8am–5pm PST.

The position emphasizes care coordination, discharge planning, and reducing readmissions within a 30-day post-discharge window. Ideal candidates have knowledge of Medi-Cal/Medicare, experience with care transitions, and strong computer skills (Outlook/Excel/Word) with familiarity with Point Click Care or Epic.