Transition Coordinator

The Transition Coordinator will evaluate member needs and requirements to achieve optimal wellness, guiding them toward appropriate resources. This role supports and oversees member transitions into and out of Indiana Medicaid programs, enrollment, and between care settings. Responsibilities include assisting with transition planning and follow-up care, collaborating with the Member Advocate Coordinator and other departments to ensure continuity of care and communication, and ensuring the transfer of prior authorization decisions, utilization management data, and clinical information. The coordinator will assist with transitions from custodial to home and community-based settings, conduct telephonic and in-person meetings with members, hospital staff, family, PCPs, and other healthcare professionals to prevent custodial placements, and assess member needs to establish a care plan. They will coordinate services and guide members/families toward resources by facilitating interactions with payers, providers, and interdisciplinary teams to ensure members transition to the least restrictive setting for optimal well-being.