Registered Nurse (RN), Behavioral Health Transition of Care Coordinator

Job overview

The Registered Nurse (RN), Behavioral Health Transition of Care Coordinator role is hybrid, with remote opportunities and onsite team meetings at local practice locations in Methuen, MA. Compensation is not specified. Greater Lawrence Family Health Center provides patient care to residents throughout the Merrimack Valley. The coordinator supports high-risk patients returning to the community after inpatient, emergency department, or other care. Through outreach, care coordination, education, and collaboration with clinical and community partners, the role promotes continuity of care and timely follow-up for patients with behavioral health needs.

What you'll do

• Identify and track patients discharged from inpatient facilities and emergency departments
• conduct outreach within 24–72 hours
• and support completion of seven-day follow-up visits. Monitor missed or canceled appointments, develop and update individualized care plans, coordinate with primary care, behavioral health providers, hospitals, and community organizations, and address barriers such as transportation and housing. Support referrals, engage patients and caregivers, provide education, and complete transition-of-care workflows including medication review, discharge plan review, and risk assessment.

What we're looking for

Skills & competencies

registered nurse

behavioral health

transition of care

methuen ma

hybrid

care coordination

patient outreach

discharge follow-up

masshealth

bachelor’s degree in nursing

massachusetts nursing license

spanish highly desirable

tuition reimbursement

Work arrangement

• Weekend coverage required

Benefits & perks

• Comprehensive benefits package, growth opportunities, and tuition reimbursement.

Why this role

The role includes remote opportunities and onsite team meetings. A bachelor’s degree in nursing and a Massachusetts license are required; bilingual Spanish is highly desirable.

About the employer

GLFHC is hiring for this role. Industry: HMO Medical Centers. Sector: 62.