Transition Care Coordinator (Northern)

Job Description

Job Description

Pay Plan Title : Transition Coordinator

Working Title : Transition Care Coordinator

Position Number : 80647

FLSA Status : Exempt

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

Office Location : Remote within Trillium’s Northern 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.
• Provides 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.
• Completes 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 :

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;

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 Northern Region of North Carolina (Bertie, Camden, Chowan, Currituck, Gates, Halifax, Hertford, Martin, Northampton, Pasquotank, Perquimans and Warren 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 : Monday, February 17, 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 :

Dates of service (month & year)

Degree type

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 update 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.

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Salary : $53,045 - $66,837