Trillium Health Resources · 1 day ago
Transition of Care (TOC) Coordinator
Trillium Health Resources is a Tailored Plan and Managed Care Organization serving 46 counties across North Carolina. The Transition of Care (TOC) Coordinator is responsible for managing complex TOC functions and supporting the clinical review service requests process for individuals with various behavioral and mental health needs.
Child CareHealth CareMental HealthNon Profit
Responsibilities
Manage the TOC Request to Move and Warm Hand Off processes across Trillium and other external agencies
Serve as the primary contact for providers, members, and internal departments regarding Benefit Plan Management and TOC inquiries
Oversee the timeliness of clinical reviews and track notifications for members or enrollees
Work collaboratively with Clinicians to coordinate the submission of clinical documentation to Peer Reviewers for decisions
Track Peer Reviewer decisions and communicate outcomes to Clinicians
Qualification
Required
High School Diploma/GED and six (6) years' experience working in the BH/MH/SU/IDD field; OR
Associate's degree and four (4) years' experience working in the BH/MH/SU/IDD field; OR
Bachelor's degree and two (2) years' experience working in the BH/MH/SU/IDD field; OR
Equivalent combination of education/experience
Must have a valid driver's license
Must reside within North Carolina
Preferred
Experience working with the BH/MH/SU/IDD population
Benefits
Health Insurance with no premium for employee coverage
Flexible Spending Accounts
24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
NC Local Government Retirement Pension (defined-benefit plan)
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies
Company
Trillium Health Resources
Trillium Health Resources is a local governmental agency for individuals with serious mental health, and intellectual disability services.