Supervisor II-Transition Coordinator (Full-time Remote, North Carolina Based)

Alliance Health•Fayetteville, NC

1d•Remote

About The Position

The Transition Coordinator II Supervisor provides oversight to Transition Coordinator, a team of licensed and non-licensed staff who provide or assist with the provision of Transitional Care Management for members with physical and/or behavioral health needs in Acute Care facilities, State Operated Developmental Centers, and Justice System settings. Our Transition Coordinator Supervisor may also provide oversight for Transition Coordinator staff dedicated to processing and conducting Warm Hand Offs to Provider Led Entities and other Plans. This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required.

Requirements

Graduation from an accredited school of nursing with Registered Nurse license and five (5) years of experience with at least two (2) years of applicable experience with the population served, including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care
Master’s degree in Human Services from an accredited college or university and three (3) years post graduate degree experience with at least two years of applicable experience with the population served, including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care.
Must have a valid, active clinical license as a LCSW, LMFT, LCAS, LCMHC, LPA, or RN in North Carolina.
Knowledge and understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) and ICD-10 coding
Considerable knowledge of the MH/SUD/IDD service array provided through the network of the Applicant’s providers.
Knowledge in the implementation of the 1915 (b/c) waivers and national accreditation is essential.
Knowledge of and skilled in the use of MS Office Products including Outlook, Excel and Word
Detail-oriented and able to organize extensive amounts of clinical data, multiple tasks and priorities
Knowledge of research and best practice development in clinical practice
Knowledge of Utilization Management/Utilization review and other related areas
Knowledge of Tailored Plan standards or procedures
Knowledge of the NC Division of Mental Health, Developmental Disabilities and Substance Abuse IPRS Target Populations and Service Array
Knowledge of 1915(b) and NC Innovations Waiver
Knowledge of Medicaid and Innovations Service Array
Knowledge of applicable Federal laws, including Substance Abuse and HIPAA Privacy Laws.
Knowledge of National Accreditation standards and regulations
Ability to effectively manage projects from start to finish
Ability to adapt and shift focus according to mandated changes and changing priorities within the department.
Ability to access and interpret information and propose solutions to address issues and specific consumer needs and situations.
High level of diplomacy and discretion
Ability to effectively negotiate and resolve issues with minimal assistance.
Exceptional interpersonal skills
Ability to communicate effective orally and written
Ability to make prompt, independent decision based on relevant facts
Problem solving, negotiation, and conflict resolutions skills
Highly skilled at assuring that both long- and short-range goals and needs of the individual are addressed and updated, while also assuring through monitoring activities that service implementation is occurring appropriately.