Onsite Transition Care Coordinator

Sentara
life insurance, paid time off, sick time, tuition assistance, 401(k), 403(b), remote work
United States, Virginia, Harrisonburg
Oct 16, 2025
City/State Harrisonburg, VA Work Shift First (Days) Overview: Sentara Health is hiring for a Transition Care Coordinator- Harrisonburg, VA! Status: Full-Time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Will report daily at SRMH Medical Center in Harrisonburg, VA. Job summary The Regional Transition Care Coordinator (TCC) is responsible for managing and supporting all transitional care and post-acute services to members in a geographical region. Care transitions include transitioning individuals from Nursing Facilities, hospitals, inpatient rehabilitation, or other institutional settings into the community, and assisting individuals who desire to remain in their community setting. The TCC will work in collaboration with the Care Coordinator, Interdisciplinary Care Team Meetings, and facilities to facilitate a safe and effective transition. The TCC will plan, coordinate, monitor, and evaluate options to meet the individual's needs prior to transition back out into the community-based setting. The TCC will ensure a smooth hand off is given to the receiving Care Coordinator assigned to the individual. Education: ALD - Associate's Level Degree, MLD - Master's Level Degree, BLD - Bachelor's Level Degree, N-3YR - RN-Diploma (Non-degree) REQUIRED Certification/Licensure: One of the following licenses or education is required: RN, LPN or Bachelors degree in Health & Human Services. LCSW or LPC licensure also acceptable for certain positions REQUIRED Experience: A minimum of two (2) years of Case Management Experience or Long-Term Care Experience REQUIRED Job Experience in Nursing, Social Work or Human Service Field REQUIRED One year working with Medicaid or CCC Plus populations, licensed in the state of VA REQUIRED Health plan (Medicaid and DSNP) and TOC experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-85730 #Indeed Talroo - Healthplan Transition Care Coordinator, Case Management, Social Work, Nursing, Human Services, Registered Nurse, RN, Licensed Professional Counselor, LPC, Licensed Clinical Social Worker, LCSW, Licensed Practical Nurse, LPN, VA, Virginia, Healthcare, Health Plan, MCO, Managed Care, Virginia, Harrisonburg, Medicaid, Dual Eligible Special Needs Plans, D-SNP, Medicare . Benefits: Caring For Your Family and Your Career * Medical, Dental, Vision plans * Adoption, Fertility and Surrogacy Reimbursement up to $10,000 * Paid Time Off and Sick Leave * Paid Parental & Family Caregiver Leave * Emergency Backup Care * Long-Term, Short-Term Disability, and Critical Illness plans * Life Insurance * 401k/403B with Employer Match * Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education * Student Debt Pay Down - $10,000 * Reimbursement for certifications and free access to complete CEUs and professional development * Pet Insurance * Legal Resources Plan * Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara RMH Medical Center, a Magnet designated hospital located in Harrisonburg VA, serves a seven-county area with a population of 218,000 residents, employing 2600 locals. The 238-bed community hospital has been serving Harrisonburg, Rockingham County and surrounding areas since 1912, then partnered with the Sentara Health System in May of 2011. Sentara RMH features the RMH Hahn Cancer Center, a state-of-the-art center equipped with the latest cancer fighting technologies available in the nation administrating more than 18,000 cancer treatments. With 1800 delivered babies, 60,000 emergency patients and 21,000 surgical procedures, Sentara has a position for you. We improve health every day, come be a part of the community. Our Caring Workplace Environment A Caring Commitment serving our community for 100+ years Free and convenient parking Collaboration and shared governance CMS 5-Star and Magnet designated hospital EAP - 24 x 7 Sentara Health is an equal opportunity employer* and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.