Homeoffice Transition Care Coordinator at BlueCross BlueShield of Tennessee

Join Our Team as a Transition Care Coordinator!

Are you passionate about helping members achieve increased independence and quality of life through community-based services and supports? LTSS is seeking a dedicated Transition Care Coordinator to join our team. The Transition Care Coordinator is responsible for the proactive approach in identifying Choices and ECF Choices members who are potential candidates for transition to the community.

Key Responsibilities:

• • Empower members by supporting their health and well-being.
  • Collaborate with members Care/Support Coordinator.
  • Actively guide all transitions from one setting to another for any individual with challenging behavioral support needs, mental health challenges, or significant medical needs.
  • Ensure that all individuals transitioning from one setting to another have access to the wrap-around supports they need
  • Ensure comprehensive, holistic, person-centered approach to care during transition process and post facility discharge.
  • Facilitate all CLS placements for ECF and CHOICES members, including those involving transitions out of institutional settings.
  • Act as a resource and Subject Matter Expert on transitions to the community and Community Living Supports (CLS)
  • Develop and maintain relationships with community partners including Community Living Support providers, Tenncare, DDA, DCS, APS and other community organizations.
  • This role supports the Middle TN area (Must live in Middle or East TN)
  • Available for an 8:00am – 5:00pm CST(no on call) schedule.
  • This position is fully remote.

You will be a great match for this role if you have strong case management/behavioral health experience, communication, and organizational skills, as well as attention to detail and ability to create efficient, consistent, and accountable habits. Preferred candidates will have a LCSW, LMSW, or LAPSW license.

Job Responsibilities

• Collaborate with Care/Support Coordinators, educate members and their families/representatives about transition supports and services through family meetings or other outreach opportunities.  When necessary, review the transition plan and documents for accuracy and thoroughness in meeting member needs, identifying all the services necessary to safely transition the member to the community.  This includes but is not limited to member needs related to housing, transportation, availability of caregiver.
• Assist the assigned Care/Support Coordinator in processes to collaborate with members primary care provider, specialists, and other providers and care programs to ensure comprehensive, holistic, person-centered approach to care post facility discharge.
• Support management with report data, participation in various committees and conference calls related to transitions.
•  Develop and maintain relationships with key resources, including TennCare, housing providers, landlords, community service organizations, and faith based initiatives
• 100 % day travel required
• Various immunizations and/or associated medical tests may be required for this position.

Job Qualifications

Experience

• 3 years - Clinical experience required
• 2 years - Experience providing care coordination to persons receiving long-term care and/or home and community based services required

SkillsCertifications

• Proven analytical and problem solving skills and ability to perform non-routine analytical tasks
• Must be able to work in an independent and creative manner.
• Effective time management skills
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills

License

• Valid Driver's License
•  Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW); or 2 years experience as an ECF Support Coordinator.

Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program.   The employee will also be required to adhere to the guidelines set forth through the program.  This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.

Number of Openings Available:

1

Worker Type:

Employee

Company:

VSHP Volunteer State Health Plan, Inc

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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