Remote Transition of Care Coach - LVN/LPN (CA)

Jobtome; Bakersfield (CA); Remote; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare of California is seeking a Transition of Care Coach LVN/LPN. This remote role requires CA LVN/LPN licensure and standard 8am–5pm PST hours, Monday through Friday.

The job emphasizes care transition, discharge planning, and coordination across hospital and post-acute settings. Responsibilities include 30-day post-discharge oversight, collaboration with hospital teams and families, and utilization of CTI or similar models to reduce readmissions.

Qualifications

• LVN/LPN with active, unrestricted California licensure.
• Experience in health care with discharge planning or care management is required.
• Knowledge of Medi-Cal and Medicare guidelines beneficial.
• Experience with care transition and discharge planning.
• Strong communication and organization skills.

Responsibilities

• Facilitate care transition activities from hospital admit to post-discharge settings.
• Support 30-day post-discharge follow-up and oversight.
• Collaborate with hospital discharge planners, providers and families.
• Ensure safe transitions with appropriate caregiving and medical oversight.
• Coordinate with community resources and service providers.
• Conduct face-to-face and home visits as needed for high-risk members.
• Educate members on medications, follow-up care, and resources.
• Participate in interdisciplinary care team meetings.
• Travel up to 40-50% locally as required by state/contract.

Skills

Care coordination

Discharge planning

Medi-Cal/Medicare knowledge

High-risk populations

Bilingual (desirable)

Microsoft Office

Communication (verbal/written)

Education

LVN/LPN license (CA)

Tools

MS Outlook

Excel

Word

Windows-based software

Job description

Molina Healthcare of California is seeking a Transition of Care Coach LVN/LPN. This remote role requires CA LVN/LPN licensure and standard 8am–5pm PST hours, Monday through Friday.

The job emphasizes care transition, discharge planning, and coordination across hospital and post-acute settings. Responsibilities include 30-day post-discharge oversight, collaboration with hospital teams and families, and utilization of CTI or similar models to reduce readmissions.