TCL ACH Transition Coordinator (Hybrid, North Carolina Based) (Personal Services)
The TCL ACH Transition Coordinator is responsible for assisting individuals who have agreed to community living exiting an institutional care setting. This position will support a person in securing and managing appropriate services, housing and community resources and requires a high level of collaboration and problem solving with internal and external stakeholders. This position also requires a high level of competency for integrated case planning across physical, behavioral and social domains.
The selected candidate must reside in North Carolina and will be required to come into to the Alliance Charlotte, (1) day a week to work, as approved by their supervisor. Travel will also be required throughout Mecklenburg county and possibly surrounding counties, for member home visits as needed.
Responsibilities & Duties
Conduct Assessments and Planning
- Assist the treatment team with members transitioning to the community from institutional care settings to community-based care
- Utilize person centered planning, motivational interviewing and assessments to review information and develop rapport with the members supported in transition
- Obtain necessary releases of information that will improve care management activities on behalf of the member
- Provide education and supports to members and legal guardians regarding their rights and responsibilities, available service options, providers availability, and payer requirements that may impact service connection and maintenance
- Actively collaborate with members supported and members of the planning team to ensure development of a plan that accurately reflects the individual's needs and desired life goals
- Ensure that assessments and plans are updated, as needed, whenever the members' life circumstances change
- Complete Administrative assessments/ plans of care for the needs identified in the assessments and complete the interventions identified as needed
- Ensure compliance with all DOJ Settlement requirements and adhere to best practice standards for assessments and treatment planning
- Provide clinical consultations and observations regarding presenting physical and behavioral health symptoms that could jeopardize community living
Coordinate and Lead community transitions
- Review BH crisis plans and care plans to ensure the presence of integrated care interventions and these plans reflect the needs and desires of members
- Ensure that all team members and stakeholders involved with the member are aware of how to train, manage and mitigate crisis events, behavioral and physical, that the member may experience
- Escalate high risk/high visibility and/or complex barriers/needs members who may have SDOH/Behavioral/Physical needs to treatment team for additional supports
- Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues that includes face to face member visits as outlined in DHHS Transition manual
- Ensure compliance with all DOJ Settlement requirements including the comprehensive core responsibilities outlined in the DHHS In Reach/Transition and Diversion manual
- Distribute surveys to members who are receiving services as necessary
- Verify that initial service linkage is completed through monitoring of activities in JIVA
- Verify members Medicaid and promptly follow up on identified issues.
- Monitor and ensure the provision of community services for at least 90 days post transition emphasizing tenancy stability. Resolve any conflict or inadequate care with provider
- Follow all TCL policies and procedures
- Work to remove local barriers to a successful and timely transition
Maintain Documentation
- Ensures all documentation (e.g. goals, plans, progress notes, etc.) meet state, organization, and Medicaid requirements
- Monitor documentation to ensure that issue/errors are resolved
- Follow administrative procedures and effectively manage caseload
- Ensure timely documentation into state required TCL platforms
Minimum Requirements
Education & Experience
Masters degree from an accredited college or university and three (3) years clinical experience with the population being served. Must be fully or provisional licensed in North Carolina as a LCSW, LCMHC, LCAS, LPA, LMFT.
Preferred:
Experience in locating and supporting individuals in permanent supportive housing is 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.
Salary Range
$66,240-$84,456.00/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
- Medical, Dental, Vision, Life, Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
Education
Required- Masters or better in Human Services
Licenses & Certifications
Preferred- Lic Clin Addiction Spec
- Lic Clinical MH Counselor
- Lic Clinical Social Wkr
- Lic Marr & Family Ther
- Lic Psychological Assoc
