TCL Transition Coord; Hybrid, Morrisville, NC

TCL Transition Coord (Full-time Hybrid, Morrisville, NC) (Healthcare)

The TCL Transition Coordinator is responsible for assisting individuals who have agreed to community living exiting an institutional care setting. This position will support a person in securing and managing appropriate services, housing and community resources and requires a high level of collaboration and problem solving with internal and external stakeholders.

This is a Full-time Hybrid position. The employee is required to come into the office closest to their location one time a week and be willing to travel within the communities Alliance serves as needed. The selected candidate must reside in North Carolina.

• Conduct Assessments and Planning
• Assist the treatment team with members transitioning to the community from institutional care settings to community-based care
• Utilize person centered planning, motivational interviewing and assessments to review information and develop rapport with the members supported
• Obtain necessary releases of information that will improve care management activities on behalf of the member
• Provide education and supports to members and legal guardians regarding their rights and responsibilities, available service options, providers availability, and payer requirements that may impact service connection and maintenance
• Actively collaborate with members supported and members of the planning team to ensure development of a plan that accurately reflects the individual s needs and desired life goals
• Ensure that assessments and plans are updated, as needed, whenever the members  life circumstances change
• Complete administrative assessments/plans of care for the needs identified in the assessments and complete the interventions identified as needed
• Ensure compliance with all DOJ Settlement requirements and adhere to best practice standards for assessments and treatment planning

• Coordinate and Lead community transitions
• Review BH crisis plans and care plans to ensure the presence of integrated care interventions and these plans reflect the needs and desires of members
• Ensure that all team members and stakeholders involved with the member are aware of how to train, manage and mitigate crisis events, behavioral and physical, that the member may experience
• Escalate high risk/high visibility and/or complex barriers/needs members who may have SDOH/Behavioral/Physical needs to treatment team for additional supports
• Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues that includes face to face member visits as outlined in DHHS Transition manual
• Ensure compliance with all DOJ Settlement requirements including the comprehensive core responsibilities outlined in the DHHS In Reach/Transition and Diversion manual
• Distribute surveys to members who are receiving services
• Verify that initial service linkage is completed through monitoring of activities in JIVA
• Verify members Medicaid and promptly follow up on identified issues
• Monitor and ensure the provision of community services for at least 90 days post transition emphasizing tenancy stability. Resolve any conflict or inadequate care with provider
• Follow all TCL policies and procedures

• Maintain Documentation
• Ensure all documentation (e.g. goals, plans, progress notes, etc.) meet state, organization, and Medicaid requirements
• Monitor documentation to ensure that issue/errors are resolved
• Follow administrative procedures and effectively manage caseload
• Ensure timely documentation into state required TCL platforms

Required:

Bachelor s degree from an accredited college or university in a Human Services or related field and three (3) years of experience with the population served.

Preferred:

Master s degree in human services and one (1) year of Full Time, Post degree work experience with social service agencies preferred.

• Knowledge of resources and systems in the community that can assist with eliminating SDOH barriers to treatment and whole person living.
• A high level of diplomacy and discretion is required
• Problem solving, negotiation, arbitration and conflict…