Remote Post-Care Transitions Navigator

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

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.