Transition Coordinator

Essential Duties and Responsibilities

• Assemble a transition team and develop a transition plan with an extensive array of activities to maximize independence and assist the youth in qualifying for the appropriate adult programs.
• Oversee and lead all transition activities from initial contact through final transition to STAR+PLUS or other community-based programs.
• Work with a nursing facility (NF) or intermediate care facility (ICF) to establish a permanency plan to relocate the Member back to the community setting of their choice.
• Conduct other appropriate assessments according to STAR Kids contract.
• Ensure thorough knowledge of the STAR Kids contract and meet all Service Coordination contract requirements.

Qualifications

• Bachelor's degree from four-year college or university; or equivalent combination of education and experience preferred.
• Minimum 3 years’ transition or community resource experience (pediatric preferred) or 1 year experience in managed care or case management.
• Previous experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled children preferred.
• Knowledge of Medicaid/Medicare preferred.

Skills

• Maintains utmost level of confidentiality at all times.
• Maintains compliance with regulatory agencies that conduct intermittent reviews and audits to ensure contractual and regulatory compliance with Federal, State entities as well URAC.
• Implements and adheres to Health System and Health Plan policies and procedures for members with special health care needs (STAR Kids).
• Demonstrates business practices and personal actions that are ethical and adhere to Corporate Compliance and integrity guidelines.