Transition Care Coordinator – Southern Region

Trillium Health Resources

Transition Care Coordinator at Trillium Health Resources providing care coordination for individuals in need of mental health services. Collaborating with a team to support transitions to independent living.

Posted 7/23/2026full-timeRemote • North Carolina • 🇺🇸 United StatesJunior💰 $56,270 - $69,898 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination and management for individuals with behavioral health and co-occurring conditions, ensuring effective discharge planning and support for independent living. Proficient in timely documentation and collaboration with multidisciplinary teams.

Highest-signal resume keywords

Care CoordinationBehavioral Health ExperienceMaster’s Degree in Human ServicesDocumentation in State Database SystemsValid Driver’s License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementAssessment CompletionSupportive Housing TransitionBehavioral/Mental Health KnowledgeSubstance Use ExperienceI/DD Experience

Soft Skills

CollaborationCommunication

Tools & Technologies

Software PlatformsState Database Systems

Certifications & Qualifications

Licensure as RN

Industry Keywords

SEDSMIPeer SupportIndependent LivingTrillium’s Southern Region

About the role

Key responsibilities & impact

Work collaboratively with licensed Clinicians, Registered Nurses, and Peer Support Specialists to ensure successful discharge/transition planning/post transition monitoring.
Provide care coordination/care management to assigned TCL individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid, or multi-morbid conditions.
Assess member’s needs who have transitioned into supportive housing to determine if additional support and services are needed for continued independent living.
Complete assessments as needed.
Ensure timely and accurate documentation of all planning and coordination efforts in multiple software platforms and State database systems.

Requirements

What you’ll need

Master’s degree in a human services field or licensure as an RN and one (1) year of relevant experience working directly with individuals with SED or SMI; OR Bachelor’s degree in a human services field or licensure as an RN and three (3) years of relevant experience working directly with individuals with SED or SMI.
Relevant experience is defined as experience working with individuals with behavioral/mental health, substance use, and/or I/DD.
Must have a valid driver’s license.
Must reside within Trillium’s Southern Region, specifically the following counties: Brunswick, and New Hanover.
Must be able to travel within catchment as required.
Preferred: Experience and knowledge of peer support and experience working with individuals who are certified peer support specialists.

Benefits

Comp & perks

Health Insurance with no premium for employee coverage
Flexible Spending Accounts
24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
NC Local Government Retirement Pension (defined-benefit plan)
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies