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
[https://youtu.be/1GZOBFx61QU]