TCL Transition Coordinator

Alliance Health

TCL Transition Coordinator working in Mecklenburg County to support individuals transitioning to community living from institutional care. Conduct assessments, provide education, and coordinate services with various stakeholders.

Posted 7/21/2026full-timeCharlotte • North Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $26 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in conducting assessments and planning for individuals transitioning from institutional care to community-based settings, ensuring compliance with DOJ Settlement requirements and best practice standards. Proficient in utilizing person-centered planning and motivational interviewing to enhance care management and support housing stability.

Highest-signal resume keywords

Bachelor's Degree In Human ServicesExperience With SED Or SMI PopulationsKnowledge Of Community ResourcesProficiency In Microsoft OfficeProblem Solving And Conflict Resolution Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Assessment And PlanningCare ManagementCrisis InterventionDocumentation ManagementProject Management

Soft Skills

DiplomacyDiscretionDetail OrientedOrganizational SkillsNegotiation Skills

Tools & Technologies

JIVAMicrosoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft PowerPoint

Industry Keywords

DOJ Settlement ComplianceSDOH BarriersBehavioral HealthComprehensive Clinical AssessmentSupportive Housing

About the role

Key responsibilities & impact

Conduct Assessments and Planning
Assist the treatment team with members transitioning to the community from institutional care settings to community-based care
Utilize person-centered planning, motivational interviewing and assessments to review information and develop rapport with the members supported
Obtain necessary releases of information that will improve care management activities on behalf of the member
Provide education to the individual/legal guardian on the behavioral health, physical health, and other recommended services based on Comprehensive Clinical Assessment (CCA) including how these services will be part of the of resources to support the individual in residing in supportive housing.
Ensure that assessments and plans are updated, as needed, whenever the members’ life circumstances change
Complete Administrative assessments/ plans of care for the needs identified in the assessments and complete the interventions identified as needed
Ensure compliance with all DOJ Settlement requirements and adhere to best practice standards for assessments and treatment planning
Coordinate and Lead Community Transitions
Review BH crisis plans and care plans to ensure the presence of integrated care interventions and these plans reflect the needs and desires of members
Ensure that all team members and stakeholders involved with members are aware of how to train, manage and mitigate crisis events, behavioral and physical, that the member may experience
Ensure referrals to RN/OT Evaluator Team when there are physical health and/or significant functional health concerns noted in the CCA
Assist persons with identifying initial and rehousing housing options based on preferences and needs and discuss barriers to housing
Ensure financial supports needed for the individual is addressed with the Transition Team and in the PCP
Convene and facilitate transition meetings to ensure that a person’s housing, clinical activity needs, and issues related to health and safety are identified and addressed on a timeline
In-person visits as defined by the settlement
Intervene to preserve tenancy and avoid housing separations, and evaluate tenancy issues to extend housing tenure
Ensure health and safety monitoring needs of the TCL members are addressed
Escalate high risk/high visibility and/or complex barriers/needs members who may have SDOH/Behavioral/Physical needs to high-risk committee
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues that include face to face member visits as outlined in DHHS Transition manual
Ensure compliance with all DOJ Settlement requirements including the comprehensive core responsibilities outlined in the DHHS In Reach/Transition and Diversion manual
Distribute surveys to members who are receiving services
Verify that initial service linkage is completed through monitoring of activities in JIVA
Verify members Medicaid and promptly follow up on identified issues.
Monitor and ensure the provision of community services for at least 90 days post transition emphasizing tenancy stability.
Resolve any conflict or inadequate care with provider
Follow all TCL policies and procedures
Maintain Documentation
Ensure all documentation (e.g. goals, plans, progress notes, etc.) meet state, organization, and Medicaid requirements
Monitor documentation to ensure that issue/errors are resolved
Follow administrative procedures and effectively manage caseload
Ensure timely documentation into state required TCL platforms
Travel
Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required
Travel to meet with members, providers, stakeholders, attend court hearings etc. is required

Requirements

What you’ll need

Bachelor’s degree in a human services field or licensure as a RN plus three (3) years of relevant experience working directly with individuals with SED or SMI
Master’s degree from an accredited college or university in Human Services field and one (1) year of full-time, post degree work experience with social service agencies is preferred.
Knowledge of resources and systems in the community that can assist with eliminating SDOH barriers to treatment and whole person living.
A high level of diplomacy and discretion is required
Problem solving, negotiation, arbitration and conflict resolution skills
Must be highly skilled at shifting between macro and micro level planning
Detail oriented
Ability to organize multiple tasks and priorities, and to effectively manage projects from start to finish.
Proficiency in Microsoft Office products (such as Word, Excel, Outlook, PowerPoint, etc.) is required.

Benefits

Comp & perks

Medical
Dental
Vision
Life
Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility