Post Transition Care Coordinator (Southern)

TRILLIUM HEALTH RESOURCES • Lumberton, NC

1d • $56,270 - $69,898 • Remote

About The Position

Trillium Health Resources is seeking a Post Transition Care Coordinator to provide care coordination services to individuals identified in the Transitions to Community Living Initiative Special Needs Populations (TCLI). This role focuses on individuals with chronic, unresolved, or complex physical, behavioral health, and social determinant needs. The coordinator will be responsible for care planning, as well as discharge and transition planning from Adult Care Homes, inpatient units, and detention centers, adhering to national evidence-based and informed standards for whole-person care.

Requirements

• Must meet Qualified Professional (QP) status.
• Fully licensed by the NC governing board regulating Human Services professions; OR Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served.
• A graduate of a college or university with a master’s degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling.
• A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
• A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
• Must have a valid driver’s license.
• Must reside within Trillium’s Southern Region, specifically in one of the following counties: New Hanover and Brunswick.
• Must be able to travel within catchment as required.

Nice To Haves

• License and/or certification may be accepted as noted above.
• Experience and knowledge of peer support and experience working with individuals who are certified peer support specialists.

Responsibilities

• 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 assessments as needed.
• Ensure timely and accurate documentation of all planning and coordination efforts in multiple software platforms and State database systems.

Benefits

• Competitive benefits
• Work-from-home options for most positions
• A collaborative, mission-driven work environment
• Opportunities for professional growth in a diverse inclusive culture
• Health Insurance with no premium for employee coverage
• Flexible Spending Accounts
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
• NC Local Government Retirement Pension (defined-benefit plan)
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level