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Transition Care Coordinator - South Central Region

Remote / Online - Candidates ideally in
Oregon, Ogle County, Illinois, 61061, USA
Listing for: Messiah College
Remote/Work from Home position
Listed on 2026-01-13
Job specializations:
  • Healthcare
    Mental Health, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 53045 - 66837 USD Yearly USD 53045.00 66837.00 YEAR
Job Description & How to Apply Below

Position Number: 59969

FLSA Status: Exempt

Posting Salary Range: $53,045 - $66,837

Office Location: Remote within Trillium’s South-Central Region of North Carolina

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time.

Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For

The Transition Care Coordinator (TCC) is responsible for providing care coordination (treatment planning, assessment, monitoring, educating, and referral/linking) to individuals identified in the Transitions to Community Living Initiative Special Needs Populations (TCLI) by targeting those chronic, unresolved, or complex physical, behavioral health, and social determinant needs. TCC will provide care planning as well as discharge and transition planning from Adult Care Homes, inpatient units, and detention centers with foundations in national evidence-based and informed standards providing whole person care.

On a typical day, you might:

  • Work collaboratively with licensed Clinicians, Registered Nurses, and Peer Support Specialists to ensure successful discharge/transition planning/post transition monitoring.
  • Provide care coordination/care management to assigned TCLI individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid or multi-morbid conditions.
  • Assess member’s needs who have transitioned into supportive housing to determine if additional support and services are needed for continued independent living.
  • Complete Care Management, Comprehensive Assessment and other assessments.
  • Ensure timely and accurate documentation of all transition planning/post transition planning and coordination efforts in Trillium Health Resources software platform and multiple State database systems.

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

  • Typical working hours are 8:30am-5pm
  • A remote work option available for most positions
  • Health Insurance - no premium for employee coverage
  • Flexible Spending Accounts
  • Paid Time Off (PTO) of 24 days, plus 12 paid holidays within the first year of employment
  • 401k with 5% employer match & immediate vesting
  • Public Service Loan Forgiveness Qualifying Employer

Qualifications:


Education/Experience:

Master's degree in the human services field or licensure as a RN and one (1) year of relevant experience working directly with individuals with Serious Emotional Disturbance (SED) or Serious Mental Illness (SMI);

OR

Bachelor's degree in the human services field or licensure as a RN and three (3) years of relevant experience working directly with individuals with SED or SMI.

Relevant experience is defined as experience working with individuals with mental health, substance use and/or Intellectual/Developmental Disabilities (I/DD).


Preferred Experience:

Experience and knowledge of peer support and experience working with individuals who are certified peer specialists is preferred.


License/Certification:
If qualifying as a RN.

Must have a…

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