Transition Support Specialist I (Remote, NC)

Alliance Health•Durham, NC

1h•$26 - $34•Remote

About The Position

The Transition Support Specialist I is a non-licensed healthcare professional who supports timely and effective transitions of care between providers—including Standard Plans, MCOs, and Provider Led Entities—and Alliance Health Plan. As part of the multidisciplinary care team, the specialist provides episodic support through warm handoffs, reporting, and coordination of follow-up care. The role responds to inquiries such as Tailored Care Management status and episode accuracy, ensures accurate referrals to appropriate clinical services, liaises between internal teams and external stakeholders, troubleshoots transition barriers, and helps improve workflows and reporting requirements. This is a full-time remote opportunity, with no routine expectation to report to an office. The selected candidate must be available to attend business meetings onsite at the Alliance Office in Morrisville, NC as needed. Travel between Alliance offices and to meet members, providers, and stakeholders, attend court hearings, meetings, or Alliance-sponsored events may be required.

Requirements

Bachelor’s degree from an accredited college or university in a Human Services field and two years of experience working directly with individuals with Behavioral Health and Physical Health conditions; alternatively, a bachelor’s degree in a non-Human Services field and four years of such experience.
Knowledge of community resources and systems that can help eliminate social determinants of health barriers to treatment and whole-person living.
Diplomacy and discretion.
Problem-solving, negotiation, arbitration, and conflict-resolution skills.
Ability to shift between macro- and micro-level planning.
Attention to detail.
Ability to organize multiple tasks and priorities and manage projects from start to finish.
Ability to adapt quickly to mandated changes and departmental priorities and change focus as priorities shift.
Proficiency in Microsoft Office products, such as Word, Excel, Outlook, and PowerPoint.
Satisfactory background and Motor Vehicle Record checks, conducted after offer acceptance and before the start date.

Nice To Haves

NACCM credential.
NADD-Specialist credential.
Health Education Specialist credential.
CBIS credential.

Responsibilities

Coordinate with internal teams and external partners to ensure timely, informed, and seamless care transitions.
Manage inbound and outbound communications related to transition planning, data accuracy, and care coordination.
Proactively identify and resolve transition-related issues to minimize care gaps and enhance member outcomes.
Complete transition summaries.
Complete warm handoffs with identified entities.
Process and document incoming warm handoffs for members transitioning from other health plans to Alliance.
Maintain and update key transition data.
Accurately document activities in Jiva and other designated care management systems.
Assist with scheduling and actively participate in virtual handoff meetings with health plans and provider-led entities.
Respond to inquiries, including those concerning Tailored Care Management status and episode accuracy.
Ensure accurate referrals to appropriate clinical services.
Serve as a liaison between internal teams and external stakeholders, troubleshoot transition barriers, and identify and foster workflow improvements and reporting requirements.
Travel between Alliance offices and attend meetings or Alliance-sponsored events as required.
Travel to meet with members, providers, and stakeholders and attend court hearings as required.