Care Transition Specialist

3 days ago


Troy, Michigan, United States Molina Healthcare Full time
Job Summary

Molina Healthcare Services (HCS) works collaboratively with members, healthcare providers, and multidisciplinary teams to deliver high-quality care across the continuum.

The ideal candidate will be a registered nurse with 1-3 years of experience in hospital discharge planning or home health. A Bachelor's Degree in Nursing is preferred, but not required. The RN will work remotely to support our Medicare/Medicaid population, ensuring successful transitions from inpatient to outpatient settings.

  • Follows members throughout a 30-day program, collaborating with hospital discharge planners, hospitalists, and family/support networks as needed.
  • Ensures safe and appropriate transitions by coordinating with participating ancillary providers, public agencies, or other service providers.
  • Counsels members on medication management, personal health records, follow-up care, signs and symptoms of worsening conditions, nutrition, functional needs, Home and Community-based Services, and advance directives.


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