Transition Support Specialist I (Remote, NC)

This is a non-licensed healthcare professional who supports timely and effective transitions of care between providers (Standard Plans, MCOs and Provider Led Entities) and Alliance Health Plan. Working as part of the multidisciplinary care team (MCT), this role provides episodic support including warm handoffs, reporting, and coordination of follow-up care.

Key responsibilities include managing warm hand offs, competition of transition summaries, responding to inquiries (e.g., Tailored Care Management status, episode accuracy), and ensuring accurate referrals to appropriate clinical services. This role serves as a liaison between internal teams and external stakeholders, helps troubleshoot transition barriers, and identifies and fosters workflow improvements and reporting requirements.

This is a full-time remote opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Alliance Office (Morrisville, NC) for business meetings as needed.

Responsibilities & Duties

Core Activities

• Coordinate with internal teams and external partners to ensure timely, informed, and seamless care transitions
• Manage inbound and outbound communications related to transition planning, data accuracy, and care coordination
• Proactively identify and resolve transition-related issues to minimize care gaps and enhance member outcomes
• Completion of Transition Summaries
• Completion of warm hand offs with identified entities

Core Documentation Requirements

• Process and document incoming warm handoffs for members transitioning from other health plans to Alliance
• Maintain and update key transition data
• Accurately document all activities in Jiva and other designated care management systems
• Assist with scheduling and actively participate in virtual handoff meetings with health plans and provider-led entities

Travel

• Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required
• Travel to meet with members, providers, stakeholders, attend court hearings etc. is required

Minimum Requirements

Education & Experience

Required:

Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of experience working directly with individuals with Behavioral Health and Physical Health conditions.

Or

Bachelor’s degree from an accredited college or university in Non-Human Services field and four (4) years of experience working directly with individuals with Behavioral Health and Physical Health conditions.

Preferred:

NACCM, NADD-Specialist, Health Education Specialist, and/or CBIS preferred

Knowledge, Skills, & Abilities-

• 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 resolution skills
• Must be highly skilled at shifting between macro and micro level planning
• Detail oriented
• Ability to organize multiple tasks and priorities, and to effectively manage projects from start to finish.
• Work activities and quickly adapt to mandated changes and priorities within the department.
• The ability to change the focus of his/her activities to meet changing priorities.
• Proficiency in Microsoft Office products (such as Word, Excel, Outlook, PowerPoint, etc.) is required.

Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Record) check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.

Salary Range

$26.27 - $34.14/hourly

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity

Want to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: https://youtu.be/1GZOBFx61QU