TCL ACH Transition Coordinator Hybrid in Mecklenburg County, North Carolina

Overview

The TCL ACH 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 position also requires a high level of competency for integrated case planning across physical, behavioral and social domains.

This is a full-time hybrid opportunity. This position will offer the ability to work 4 days remote but will require reporting on-site 1 day per week to the Alliance Office (Mecklenburg, North Carolina). The successful candidate will also be required to travel throughout Mecklenburg County and surrounding counties (including ones outside of Alliance’s catchment area) to meet with members, providers and/or other community stakeholders as needed.

• 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 in transition; 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, 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 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;
  
  provide clinical consultations and observations regarding presenting physical and behavioral health symptoms that could jeopardize community living.

• 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); escalate high risk/high visibility and/or complex barriers/needs to the treatment team for additional supports;
  
  promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues, including face-to-face member visits as outlined in the 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 as necessary; 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; work to remove local barriers to a successful and timely transition.

• 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
:
Masters degree from an accredited college or university and three (3) years clinical experience with the population being…