Remote Transition of Care Coach (LVN/LPN)

Jobtome; Fresno (CA); Teletrabalho; USD 38 000 - 74 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

None

Resumo da oferta

Molina Healthcare of California seeks a Transition of Care Coach LVN/LPN to support discharge planning and post-acute transitions for members. This remote role requires active CA LVN/LPN licensure and a schedule Monday through Friday, 8am–5pm PT.

You will coordinate with hospital discharge planners, physicians, and community providers, conduct in-person visits as needed, and use care transition models to reduce readmissions.

Qualificações

• Minimum 2 years healthcare experience with 1 year in discharge planning, care management or behavioral health.
• Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with CA licensure, active and unrestricted.
• Valid driver's license, reliable transportation for local travel as required.
• Familiarity with Care Transitions Intervention (CTI) or similar model.
• Knowledge of community resources and social determinants of health.

Responsabilidades

• Support care transition activities and coordinate member discharge across settings.
• Monitor a 30-day post-discharge period and reduce readmissions.
• Collaborate with discharge planners, hospitalists, providers, and families.
• Coordinate safe transitions with appropriate caregiving and meds oversight.
• Work with providers and community resources to secure services/equipment.
• Conduct face-to-face and home visits for high-risk members as needed.
• Lead interdisciplinary care team meetings and share recommendations.
• Provide education on medications, follow-up, and self-management.

Conhecimentos

Communication

Computer skills

Discharge planning

Care coordination

Time management

Self-motivation

Adaptability

Customer service

Formação académica

CA LVN/LPN license

Active unrestricted CA license

Ferramentas

MS Outlook

MS Excel

MS Word

Windows-based software

Descrição da oferta de emprego

Molina Healthcare of California seeks a Transition of Care Coach LVN/LPN to support discharge planning and post-acute transitions for members. This remote role requires active CA LVN/LPN licensure and a schedule Monday through Friday, 8am–5pm PT.

You will coordinate with hospital discharge planners, physicians, and community providers, conduct in-person visits as needed, and use care transition models to reduce readmissions.