Onsite Transition Care Coordinator

City/State

Harrisonburg, VA

First (Days)

Sentara Health is hiring for a Transition Care Coordinator
- Harrisonburg, VA!

Will report daily at SRMH Medical Center in Harrisonburg, VA.

Full-Time, permanent (40 hours)

8am to 5pm EST, M-F.

The Regional Transition Care Coordinator (TCC) is responsible for managing and supporting all transitional care and post-acute services to members in a geographical region. Care transitions include transitioning individuals from Nursing Facilities, hospitals, inpatient rehabilitation, or other institutional settings into the community, and assisting individuals who desire to remain in their community setting. The TCC will work in collaboration with the Care Coordinator, Interdisciplinary Care Team Meetings, and facilities to facilitate a safe and effective transition.

The TCC will plan, coordinate, monitor, and evaluate options to meet the individual's needs prior to transition back out into the community-based setting. The TCC will ensure a smooth hand off is given to the receiving Care Coordinator assigned to the individual.

• ALD - Associate's Level Degree, MLD - Master's Level Degree, BLD - Bachelor's Level Degree, N-3YR - RN-Diploma (Non-degree) REQUIRED

• One of the following licenses or education is required: RN, LPN or Bachelors degree in Health & Human Services. LCSW or LPC licensure also acceptable for certain positions REQUIRED

• minimum of two (2) years of Case Management Experience or Long-Term Care Experience REQUIRED
• Job Experience in Nursing, Social Work or Human Service Field REQUIRED
• One year working with Medicaid or CCC Plus populations, licensed in the state of VA REQUIRED
• Health plan (Medicaid and DSNP) and TOC experience preferred

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

To apply , please go to and use the following as your Keyword Search:
JR-85730