The TCL Transition Coordinator is responsible for assisting individuals who have agreed to community living exiting an institutional care setting. This position will support a person in securing and managing appropriate services, housing and community resources and requires a high level of collaboration and problem solving with internal and external stakeholders.

This is a Full-time Hybrid position. The employee is required to come into the Morrisville once a week and be willing to travel within Durham and Orange County to serves member as needed. The selected candidate must reside within 30 miles of Durham, North Carolina.

Responsibilities & Duties

Conduct Assessments and Planning 

• Assist the treatment team with members transitioning to the community from institutional care settings to community-based care 
  
• Utilize person centered planning, motivational interviewing and assessments to review information and develop rapport with the members supported
  
• Obtain necessary releases of information that will improve care management activities on behalf of the member 
  
• Provide education and supports to members and legal guardians regarding their rights and responsibilities, available service options, providers availability, and payer requirements that may impact service connection and maintenance 
  
• Actively collaborate with members supported and members of the planning team to ensure development of a plan that accurately reflects the individual’s needs and desired life goals 
  
• Ensure that assessments and plans are updated, as needed, whenever the members’ life circumstances change 
  
• Complete Administrative assessments/ plans of care for the needs identified in the assessments and complete the interventions identified as needed
• Ensure compliance with all DOJ Settlement requirements and adhere to best practice standards for assessments and treatment planning

Coordinate and Lead community transitions  

• Review BH crisis plans and care plans to ensure the presence of integrated care interventions and these plans reflect the needs and desires of members 
  
• Ensure that all team members and stakeholders involved with the member are aware of how to train, manage and mitigate crisis events, behavioral and physical, that the member may experience 
  
• Escalate high risk/high visibility and/or complex barriers/needs members who may have SDOH/Behavioral/Physical needs to treatment team for additional supports
  
• Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues  that includes face to face member visits as outlined in DHHS Transition manual
  
• Ensure compliance with all DOJ Settlement requirements including the comprehensive core responsibilities outlined in the DHHS In Reach/Transition and Diversion manual
  
• Distribute surveys to members, who are receiving services 
  
• Verify that initial service linkage is completed through monitoring of activities in JIVA
  
• Verify members Medicaid and promptly follow up on identified issues.
  
• Monitor and ensure the provision of community services for at least 90 days post transition emphasizing tenancy stability. Resolve any conflict or inadequate care with provider
  
• Follow all TCL policies and procedures

Maintain Documentation

• Ensures all documentation (e.g. goals, plans, progress notes, etc.) meet state, organization, and Medicaid requirements
  
• Monitor documentation to ensure that issue/errors are resolved 
  
• Follow administrative procedures and effectively manage caseload
  
• Ensure timely documentation into state required TCL platforms

 Minimum Requirements

Education & Experience

Required:

Bachelor’s degree from an accreidted college or university in a Human Services or related field and three (3) years of experience with the population served. 

Preferred:

Master’s degree in human services and one (1) year of Full Time, Post degree work experience with social service agencies 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.

Salary Range

$53,560 - $68,289/Annually

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

An excellent fringe benefit package accompanies the salary, which includes:  

• Medical, Dental, Vision, Life, Long Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility