Transition Coordinator

About This Opportunity

We are representing a confidential healthcare organization in their search for a Transition Coordinator to join their Medicaid-focused care management team. This remote role is based in Indiana and requires residence in Clark, Floyd, Harrison, or Scott County.

In this position, you'll serve as a vital advocate for members navigating transitions between care settings—from hospitals to home, from institutional to community-based care. Your work will directly impact members' ability to achieve wellness in the least restrictive setting appropriate for their needs.

Responsibilities

• Coordinate ongoing member transitions in and out of state Medicaid programs and among various care settings
• Conduct telephonic and in-person meetings within your assigned region with members, hospital discharge planners, family members, primary care physicians, and other healthcare professionals
• Assess and evaluate member requirements to establish individualized care plans and coordinate appropriate services
• Ensure transfer and receipt of prior authorization decisions, utilization management data, and clinical information including care management notes
• Facilitate transitions from custodial settings to home and community-based settings, working to prevent institutional placements when possible
• Guide members and families toward appropriate resources and facilitate interactions with payer sources, providers, and interdisciplinary teams
• Collaborate with member advocate coordinators and other departments to ensure continuity and coordination of care
• Maintain documentation in electronic case management systems

What We're Looking For

Required Qualifications:

• Bachelor's degree in a health and human services field
• 2+ years of relevant experience in care coordination or case management
• Valid driver's license and personal vehicle liability insurance meeting state requirements (minimum $25,000 bodily injury per person/$25,000 per event/$10,000 property damage or higher)
• Must reside in Clark, Floyd, Harrison, or Scott County, Indiana
• Dedicated home office space with a locked door to ensure privacy and HIPAA compliance
• Self-provided internet service (minimum 25 Mbps download/10 Mbps upload; wired cable or DSL recommended)
• Willingness to undergo TB screening as this is a patient-facing role
• Passion for improving consumer healthcare experiences

Preferred Qualifications:

• Master's degree in related field
• Applicable state licensure
• Case Management Certification (CCM)
• Experience with Interqual or Millman utilization review criteria
• Prior experience working with Medicare and Medicaid populations
• Experience with electronic case note documentation across multiple computer systems
• Background in health promotion, coaching, and wellness
• Knowledge of community health, social service agencies, and local resources

How We Work With You

Our talent team at Get A Job.ai partners with leading healthcare organizations to identify exceptional care management professionals. When you apply through our platform, here's what to expect:

• Submit your application directly on getajob.ai
• A recruiter from our team will conduct an initial screening to understand your background and career goals
• If there's a strong match, we'll submit your profile to our client for consideration
• Please do not contact the employer directly—we manage all communication to ensure a smooth process

This is a full-time, remote position (40 hours per week) with occasional travel required for training or meetings. The role is eligible for bonus incentive compensation based on company and individual performance.

Pay

Compensation details for this position will be discussed during the screening process with our recruiting team.

Equal Employment Opportunity: Get A Job.ai is committed to creating a diverse and inclusive environment. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. All employment decisions are based on qualifications, merit, and business needs.