Ohio Licensed Transitions Coordinator

Job Summary

To support member transitions to and from long-term care and home-based services, the full-time Ohio Licensed Transitions Coordinator will manage care coordination, oversee compliance with regulations, and collaborate with interdisciplinary teams in a remote work environment.

Key responsibilities:

• Act as the point of contact for care coordination and manage level of care transitions for members
• Ensure timely completion of nursing facility-based level of care assessments and HCBS waiver processes
• Monitor member eligibility and assist in developing and implementing care plans as needed

Required qualifications:

• Completion of an accredited Registered Nurse (RN) program or degree for Social Worker licensure in Ohio
• Bachelor of Science in Nursing (BSN) or equivalent degree preferred
• Three years of experience in case management and/or managed care required
• Experience in a Medicare and/or Medicaid managed care environment preferred
• Current, unrestricted RN, Licensed Social Worker (LSW), or Licensed Independent Social Worker (LISW) licensure in Ohio required