Transition Care Coordinator – South Central Region

Austin Community College; Oregon (IL); Remote; USD 53,000 - 67,000; Full time

Job summary

An established industry player is seeking a Transition Care Coordinator to empower individuals in their journey towards better health. This role involves providing comprehensive care coordination, working closely with a dedicated team to ensure successful transitions for individuals with complex health needs. You'll be at the forefront of making a positive impact in the community, helping individuals access vital services and support. With a strong commitment to employee well-being, this organization offers a flexible work environment and competitive benefits, making it a great place to grow your career while making a difference.

Benefits

Health Insurance - no premium for employee coverage

Flexible Spending Accounts

Paid Time Off (PTO) of 24 days

12 paid holidays

401k with 5% employer match

Public Service Loan Forgiveness Qualifying Employer

Qualifications

• Master's or Bachelor's in human services with relevant experience.
• Experience with mental health, substance use, and I/DD is essential.

Responsibilities

• Coordinate care for individuals with complex health needs.
• Work with clinicians to ensure successful discharge and transition.

Skills

Care Coordination

Assessment

Monitoring

Behavioral Health Knowledge

Communication Skills

Education

Master's degree in Human Services

Bachelor's degree in Human Services

Tools

Trillium Health Resources software

State database systems

Job description

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Position Number: 59969

FLSA Status: Exempt

Posting Salary Range: $53,045 - $66,837

Office Location: Remote within Trillium’s South-Central Region of North Carolina

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For

The Transition Care Coordinator (TCC) is responsible for providing care coordination (treatment planning, assessment, monitoring, educating, and referral/linking) to individuals identified in the Transitions to Community Living Initiative Special Needs Populations (TCLI) by targeting those chronic, unresolved, or complex physical, behavioral health, and social determinant needs. TCC will provide care planning as well as discharge and transition planning from Adult Care Homes, inpatient units, and detention centers with foundations in national evidence-based and informed standards providing whole person care.

On a typical day, you might:

• Work collaboratively with licensed Clinicians, Registered Nurses, and Peer Support Specialists to ensure successful discharge/transition planning/post transition monitoring.
• Provide care coordination/care management to assigned TCL individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid or multi-morbid conditions.
• Assess member’s needs who have transitioned into supportive housing to determine if additional support and services are needed for continued independent living.
• Complete Care Management, Comprehensive Assessment and other assessments.
• Ensure timely and accurate documentation of all transition planning/post transition planning and coordination efforts in Trillium Health Resources software platform and multiple State database systems.

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

• Typical working hours are 8:30am-5pm
• A remote work option available for most positions
• Health Insurance - no premium for employee coverage
• Flexible Spending Accounts
• Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Qualifications:

Education/Experience:
Master's degree in the human services field or licensure as a RN and one (1) year of relevant experience working directly with individuals with SED or SMI;

OR

Bachelor's degree in the human services field or licensure as a RN and three (3) years of relevant experience working directly with individuals with SED or SMI.

Relevant experience is defined as experience working with individuals with mental health, substance use and/or I/DD.

Preferred Experience:
Experience and knowledge of peer support and experience working with individuals who are certified peer specialists is preferred.

License/Certification: If qualifying as a RN.

Must have a valid driver’s license.

Location:
Remote within Trillium’s South Central Region of North Carolina (Carteret, Craven, Duplin, Jones, Lenoir, Onslow, Pender, Sampson and Wayne Counties)

Must reside in NC to be considered for remote status.

Must be able to travel to a Trillium office location and within catchment as required.

Deadline for application: Thursday, February 27, 2025 at 11:59pm

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume. Your resume must provide your level of education and detailed work experience, including:

• Employer Name
• Dates of service (month & year)
• Average number of hours worked per week
• Essential duties of the job as related to the position you’re applying for
• Education
• Degree type
• Date degree was awarded
• Institution
• Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

You will be notified by HR on the status of your application as appropriate. All applicants will receive a final email when the recruitment cycle for the position has closed.

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an updated resume in the Talent Community profile.

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.