Transition Of Care Coach (Rn)

Molina Healthcare; San Antonio (TX); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare is seeking two TX-licensed RNs to serve as Transition of Care Coaches, one in El Paso and the other open to TX residents. The role blends inpatient contact with outpatient outreach, focusing on transitions from hospital to home or facility while coordinating with discharge teams.

Travel will be required; schedule is M-F 8-5 CST. Preferred background includes case management, managed care, or inpatient hospital experience, with behavioral health exposure a plus.

Qualifications

• At least 2 years in health care with 1 year in discharge planning, care management, or behavioral health.
• Active RN license in TX.
• Valid driver's license and reliable vehicle for local travel.
• Knowledge of CTI or similar care transition model.
• Ability to work independently and manage multiple priorities under pressure.

Responsibilities

• Follow members through a 30-day transition program from hospital admission to post-discharge settings.
• Coordinate with discharge planners, hospitalists, and care teams to reduce readmissions.
• Provide in-person and phone support during inpatient stays and post-discharge visits as needed.
• Document activities and maintain accurate contact notes.
• Travel 40-50% locally to designated hospitals.

Skills

Care coordination

Time management

Communication (verbal/written)

Independent work

Multitasking

Proactive

Problem solving

Education

Registered Nurse license

Tools

CTI familiarity

Microsoft Office

EMR/EHR systems

Job description

JOB DESCRIPTION

We are seeking two TX licensed Registered Nurses; one of the openings must be filled in El Paso, and the other is open to residents of TX.

The RN will act as a Transition of Care Coach supporting our TX Medicaid members who have recently been admitted to this hospital. The TOCC will partner with the hospital discharge team and support the member to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in person meetings with the members while still inpatient. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioural health setting would be a plus.

TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package.

Schedule: Monday through Friday 8:00AM to 5:00PM CST (No weekends, no nights, no holidays, no call.)

Job Summary

Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
• Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
• Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
• Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
• Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
• Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
• Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• Facilitates interdisciplinary care team meetings (ICT) and collaboration.
• Provides consultation, recommendations and education as appropriate to non-behavioural health care managers.
• 40-50% local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioural health setting, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
• Background in discharge planning and/or home health.
• Demonstrated knowledge of community resources.
• Proactive and detail-oriented.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to work independently, with minimal supervision and demonstrate self-motivation.
• Responsive in all forms of communication, and ability to remain calm in high‑pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time‑management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem‑solving, and critical‑thinking skills.
• Excellent verbal and written communication skills.
• Microsoft Office suite/other applicable software program(s) proficiency.

Preferred Qualifications

• Transitions of care sub‑specialty certification and/or Certified Case Manager (CCM).
• Hospital discharge planning or home health experience.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.