Ohio Licensed Transitions Coordinator

Job Summary

To support member transitions to and from long-term care and home and community-based services, the full-time Ohio Licensed Transitions Coordinator will manage care coordination, collaborate with interdisciplinary teams, and ensure compliance with regulatory standards while working remotely.

Key responsibilities:

• Act as the main point of contact for care coordination, ensuring effective communication among stakeholders during level of care transitions
• Oversee eligibility verification and compliance for nursing facility-based care and HCBS waiver services
• Document and coordinate clinical information to facilitate timely and safe transitions for members

Required qualifications:

• Current, unrestricted Registered Nurse (RN), Licensed Social Worker (LSW), or Licensed Independent Social Worker (LISW) licensure in Ohio
• Completion of an accredited RN degree program or equivalent degree for Social Worker licensure
• Three years of experience in case management and/or managed care
• Experience in Medicare and/or Medicaid managed care environments is preferred
• Post-acute, home care, waiver, or acute clinical care experience is preferred