Transition Specialist (NC)

POSITION SUMMARY/RESPONSIBIILITIES

The Transition Specialist-NC ensures STAR Plus Members receive early and comprehensive transition planning to help prepare them for service and benefit changes that will occur following transition to the community from nursing home. Provides ongoing transition planning services to STAR Plus Members utilizing a team approach through the named Service Coordinator (if applicable) and with the Member, the Member’s Legal Authorized Representative (LAR), and the Member’s Support Network. The Transition Specialist considers individual dynamics, needs and preferences while providing education and health-related information on considerations and resources for Member transition out of nursing facilty. Complies with University Health and CFHP’s policies, procedures and protocols for establishing and maintaining good working relationships with co-workers, Health System employees, patients and guests.

EDUCATION/EXPERIENCE

Bachelor’s degree in related field OR five (5) Years of equivalent experience is required. At least five (5) recent years of Long Term Services and Supports (LTSS) population experience, which may include service coordination, case management, quality management, or managed care experience preferred. Working knowledge of Texas Department of Insurance HMO standards, LTSS and NCQA standards is preferred. Knowledge of Texas STAR+PLUS system preferred.