Transition Coordinator
Core
Evaluates member needs to establish care plans and guides members/families toward resources to achieve optimal wellness and prevent custodial placements.
Role type
Senior case management coordinator (Medicaid/Medicare transitions)
Builds
Member-specific care plans and transition pathways between care settings
Domain
US Healthcare / Medicaid & Medicare / Social Services
Deliverable
client delivery
Required skills
care plan development, resource coordination, stakeholder facilitation, needs assessment, transition planning, prior authorization tracking
Preferred skills
case management certification, Medicare/Medicaid recipient experience, electronic case note documentation, community health agency knowledge
Technologies
electronic case note systems, multiple computer applications
Responsibilities
Support member transitions in/out of Indiana Medicaid programs and among care settings; Complete transitions and assist with planning, preparation, and follow-up care; Ensure transfer of prior authorization decisions, utilization data, and clinical information; Guide members/families toward appropriate care resources; Facilitate interactions with payer sources, providers, and interdisciplinary teams; Assess member needs to ensure transition to the least restrictive setting.
Seniority
Mid-level, hands-on IC