- Identify, oversee, and manage coordination of member transitions in the community
- Ensure timely and safe transitions between various levels of health care services
- Coordinate care plans with community care coordinators
- Educate transition enrollees about services, requirements, limitations, and exclusions
- Support care coordination teams, providers, and healthcare team members in developing transition plans
- Assist with transitions based on enrollment or transition-of-care services
- Identify new member enrollees requiring transition services
- Ensure existing authorizations are honored during transitions
- Serve as a resource for members, families, and caregivers
- Track and maintain transition metrics and document transition-of-care information
- Draft educational materials and resources
- Assist with developing education and training programs
- Evaluate member needs and available resources and recommend and facilitate care plans
- Coordinate between members, caregivers, and care provider teams
- Interact with healthcare providers to facilitate care coordination
- Perform other assigned duties and comply with policies and standards
Requirements
- Bachelor's degree required
- 2-4 years of related experience
- Equivalent experience may be acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position
- Background in healthcare and/or behavioral health
- Familiarity with Wisconsin Medicaid
- Ability to manage a high volume of inbound and outbound calls
- Ability to complete assessments and develop individualized care plans
- Availability Monday to Friday, 8-5 pm CST
Core Competencies
Demonstrates expertise in care coordination and transition management within healthcare settings, with a strong focus on developing individualized care plans and educating members about available services. Proficient in tracking metrics and collaborating with healthcare providers to ensure seamless transitions and compliance with standards.
Highest-signal resume keywords
- Care Coordination
- Transition Management
- Individualized Care Plans
- Wisconsin Medicaid Familiarity
- Healthcare Experience
Hard Skills
- Assessment Completion
- Care Plan Development
- Transition Metrics Tracking
- Educational Material Drafting
- Resource Evaluation
Soft Skills
- Communication
- Interpersonal Skills
- Organizational Skills
- Team Support
Certifications & Qualifications
- Bachelor's Degree
Industry Keywords
- Healthcare
- Behavioral Health
- Care Coordination Teams
- Transition-of-Care Services
- Member Transitions
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Transition Specialist Arbeitgeber: Jobtailor
Als Front Office Supervisor in unserem dynamischen Team bieten wir Ihnen die Möglichkeit, in einem unterstützenden und freundlichen Arbeitsumfeld zu wachsen. Wir legen großen Wert auf die berufliche Entwicklung unserer Mitarbeiter und bieten regelmäßige Schulungen sowie die Chance, Verantwortung zu übernehmen. Unsere Lage ermöglicht es Ihnen, Teil einer lebendigen Gemeinschaft zu sein, während Sie gleichzeitig die Standards unseres Franchise-Partners einhalten und unseren Gästen einen unvergesslichen Aufenthalt bieten.
