Transition of Care (TOC) Coordinator

TRILLIUM HEALTH RESOURCES•New Caledonia, AR

3d•Remote

About The Position

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives. Trillium Health Resources has a career opening for a Transition of Care (TOC) Coordinator to join our team! The TOC Coordinator is responsible for managing complex Transition of Care (TOC) functions across the organization and other external agencies. This position is responsible for administratively supporting the comprehensive clinical review service requests process for persons with Behavioral/Mental Health, Intellectual Developmental Disabilities, and/or Substance Use (BH/MH/IDD/SU) disorders transitioning between plans, working collaboratively with Clinicians to ensure the timeliness of reviews and monitoring outcomes.

Requirements

High School Diploma/GED and six (6) years’ experience working in the BH/MH/SU/IDD field; OR
Associate’s degree and four (4) years’ experience working in the BH/MH/SU/IDD field; OR
Bachelor’s degree and two (2) years’ experience working in the BH/MH/SU/IDD field; OR
Equivalent combination of education/experience.
Must have a valid driver’s license.
Must reside within North Carolina.

Nice To Haves

Experience working with the BH/MH/SU/IDD population.

Responsibilities

Manage the TOC Request to Move and Warm Hand Off processes across Trillium and other external agencies.
Serve as the primary contact for providers, members, and internal departments regarding Benefit Plan Management and TOC inquiries.
Oversee the timeliness of clinical reviews and track notifications for members or enrollees.
Work collaboratively with Clinicians to coordinate the submission of clinical documentation to Peer Reviewers for decisions.
Track Peer Reviewer decisions and communicate outcomes to Clinicians.

Benefits

Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
Work-from-home options available for most positions
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

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