Transition Specialist - J01072 - A-Line Staffing Solutions : Job Details

Provides support with identifying, overseeing, and managing the coordination of transition of members in the community. Coordinates care plans with community care coordinators, educates transition enrollees about services, requirements, limitations, and/or exclusions of services. Develops and/or assists with member transition plan or service plan/care plan. Supports care coordination team, providers, and/or other health care team members to develop an effective transition plan. Assists with the transition for members in the community based on enrollment or transition of care for services identified. Works with care coordination and care management team to identify new member enrollees requiring transition services. Ensures existing authorizations are honored during the transition process and works with care management team and providers to address any issues. Acts as an available resource for members and their families and/or caregivers to educate on services, requirements, limitations...Specialist, Staffing, Healthcare, Education