Remote Transition of Care Coach (LVN/LPN)

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

Job summary

Molina Healthcare of California is seeking a Transition of Care Coach LVN/LPN. This remote role requires an active California LVN/LPN license. Work hours are Monday–Friday, 8am–5pm PT, with travel 40–50% as required by state contracts.

Ideal candidates bring experience in care transitions, discharge planning, and familiarity with Medi-Cal/Medicare, CTI, and community resources. Bilingual skills are a plus but not required.

Qualifications

• Active, unrestricted LVN/LPN license in California.
• At least 2 years in health care with discharge planning or care management experience.
• Experience with care transitions and hospital-to-home transitions preferred.

Responsibilities

• Coordinate transitional care and discharge planning to minimize readmissions.
• Provide 30-day post-discharge oversight across care settings.
• Collaborate with hospital staff, providers, and families to ensure safe transitions.
• Educate members on medication management and follow-up care.
• Conduct face-to-face and home visits for high-risk members when needed.
• Support interdisciplinary care team meetings and resource coordination.

Skills

Care coordination

Discharge planning

Communication

Outlook

Education

LVN/LPN licensure (CA)

Tools

MS Outlook

Excel

Word

Epic

PointClickCare

Job description

Molina Healthcare of California is seeking a Transition of Care Coach LVN/LPN. This remote role requires an active California LVN/LPN license. Work hours are Monday–Friday, 8am–5pm PT, with travel 40–50% as required by state contracts.

Ideal candidates bring experience in care transitions, discharge planning, and familiarity with Medi-Cal/Medicare, CTI, and community resources. Bilingual skills are a plus but not required.