Transitional Case Management (TCM) Specialist
POSITION SUMMARY
The Transitional Case Management (TCM) Specialist provides outreach, engagement, and care coordination services to support continuity of care for individuals enrolled in Managed Care Organization (MCO) plans who are at risk of disengagement from behavioral health treatment services. This role is responsible for identifying clients who have not participated in qualifying clinical services within required timeframes, conducting outreach and supportive intervention, documenting Targeted Case Management services in accordance with Medicaid and agency standards, and communicating identified clinical concerns to program leadership.
The TCM Specialist works collaboratively with Adult Services, Children’s Services, clinical providers, case managers, and revenue cycle leadership to support service continuity, client engagement, regulatory compliance, and appropriate reimbursement practices consistent with CMHC and He-M standards.
KEY RESPONSIBILITIES
- Client Outreach, Engagement & Continuity of Care
- Therapeutic Support & Case Management Services
- Documentation, Compliance & Quality Assurance
- Collaboration & Team Participation