Remote Transition of Care Coach (LVN/LPN)

Molina Healthcare, Inc.; Los Angeles (CA); Remote; USD 39,000 - 74,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Transition of Care Coach LVN/LPN to support member discharge and care transitions across settings.

This remote role requires a valid California LVN/LPN license; work hours are 8am-5pm PT, Monday through Friday, with travel expectations up to 40-50% depending on state requirements. You will coordinate with hospital discharge planners, clinicians and families, educate members on medication management, follow-up care, and community resources, and utilize the

Qualifications

• 2+ years in healthcare; 1+ year in discharge planning, care mgmt, or behavioral health.
• LVN/LPN with active, unrestricted California license.
• Valid CA driver’s license and reliable transportation for travel.
• Experience with care transitions models and discharge planning.
• Knowledge of Medi-Cal/Medicare and community resources.
• Strong computer skills: Outlook/Excel/Word; able to learn Windows software.
• Excellent communication and interpersonal skills.

Responsibilities

• Provides support for care transition activities and coordinates member discharge from hospital to other settings to reduce readmissions.
• Monitors member progress through a 30-day program from hospital admission through transitions.
• Collaborates with discharge planners, hospitalists, providers, facility staff, and family to ensure safe transitions.
• Assesses and ensures adequate caregiving and medical oversight post-discharge.
• Coordinates with ancillary providers and public agencies to arrange necessary services and equipment.
• Conducts face-to-face visits during hospitalization and post-discharge for high-risk members.

Skills

Care coordination

Discharge planning

Outlook

Excel

Word

Hospital discharge experience

Communication skills

Time management

Cultural competence

Bilingual (preferred)

Education

Licensed LVN/LPN (CA)

Tools

CTI model

Epic

Job description

Molina Healthcare, Inc. is seeking a Transition of Care Coach LVN/LPN to support member discharge and care transitions across settings.

This remote role requires a valid California LVN/LPN license; work hours are 8am-5pm PT, Monday through Friday, with travel expectations up to 40-50% depending on state requirements. You will coordinate with hospital discharge planners, clinicians and families, educate members on medication management, follow-up care, and community resources, and utilize the