Care Transition Specialist

This role supports care transition activities by facilitating the coordination of member discharge from hospital admission to various settings, aiming to reduce readmissions and ensure quality, cost-effective care. The specialist follows members through a 30-day program, collaborating with healthcare providers and family to ensure safe transitions and adequate support. They conduct hospital and home visits, educate members on key care areas, and utilize motivational interviewing to support member change. The position requires strong communication, problem-solving, and time-management skills, along with active nursing licensure and relevant healthcare experience.