Transition Support Team Lead Coordinator (LPC, BCBA, LCSW)

Transition Support Team (TST) Lead Coordinator

Job Code: THER - 124
Revision Date: November 13, 2025

Starting Salary: $38.92 hourly; $80,944 annually

FLSA: Exempt

Overview

We are an agency committed to innovative behavioral health services in trauma-informed care that promote healing and recovery to instill a sense of empowerment and foster a lifelong sense of resilience.

General Description

The purpose of this position is to be a part of a multidisciplinary team composed of a Psychologist, a Medical Doctor, a Psychiatrist, a Registered Nurse, and an LPC and provide support services through case consultation, training and education on specific topics related to IDD and mental health, behavioral, and/or medical comorbidities. The Lead Transition Support Team (TST) Coordinator collaborates and supports Money Follows the Person (MFP) Federal Demonstration HUB Region 1 that includes El Paso, Permian Basin, West Texas Center, and Concho Valley. The goals of this position are to provide support activities to community staff who serve individuals with IDD that may be at risk of admission to an institutional setting and to those who have moved from an institutional setting, including State Supported Living Centers (SSLCs), Nursing Facilities (NFs), and medium or larger ICF/IIDs.

This position will also qualify under the provision of the Public Service Loan Forgiveness (PSLF) program. The individual will also have access to support with licensure renewal and continued education units (CEUs).

The incumbent will report directly to the Director of Care Transition and will work under general supervision, independently developing work methods and sequences.

Duties and Responsibilities

The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.

  • Create educational opportunities, such as webinars, conferences, training, and specified correspondence, focused on increasing the expertise of LIDDA and provider staff in supporting the individuals with IDD at risk for institutionalization or those who have moved from institutions (SSLCs, NFs, and medium or large ICF/IIDs). Request pre-approval of new educational opportunities in accordance with LIDDA Performance Contract.
  • Provide technical assistance, upon request from LIDDAs and providers, on specific disorders and diseases, with examples of best practices and evidence-based services for individuals with significant medical, behavioral, and psychiatric challenges. Conduct community outreach to inform agencies of the availability and type of educational opportunities and outline how to request educational opportunities from their region's LIDDA.
  • Facilitate case-specific peer review or multidisciplinary consultations to support service planning teams that need assistance planning and providing effective care and create and provide the suggestions within five business days to the referring person.
  • Maintain compliance with required HHSC and EHN training.
  • Schedule and facilitate a stakeholder committee meeting at least annually.
  • Schedule, facilitate, and attend monthly TST office hours with the other TST leads to discuss challenges, successes, upcoming educational opportunities, share community resources, and collaborate on program initiatives;
  • At least once per quarter, communicate face to face, either in person or through a virtual platform, with the DSA LIDDAs (Concho Valley, Permia Care, and West Texas) and providers to inform them of the availability of all program services and outlines how to request a service;
  • Develop a TST program plan in conjunction with the Director of Care Transition, to be submitted annually to HHSC for review and approval in accordance with LIDDA Performance Contract.
  • Participate in the development of the Calendar Year Contractor Form.
  • Complete the Quarterly TST report in accordance with HHSC requirements and comply with internal/external submission due dates.
  • Complete Annual Satisfaction Surveys in accordance with HHSC requirements.
  • Performs other duties as assigned.
  • Out-of-town Travel not limited to the Designated Service Areas (Concho Valley, PermiaCare, and West Texas) to provide support and/or education/
  • Local travel to provide training, technical assistance, and outreach activities.
  • Logs and maintains accountability of training and peer reviews on a day-to-day basis.
  • Performs other duties as assigned.

Minimum Education and Experience Requirements

Master's degree in psychology, Social Sciences, or related behavioral field, supplemented by two (2) years of experience; or possession of any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities. Requires a Licensed health-related professional with direct work experience in the IDD field.

Experience with trauma-informed services; cognitive behavioral therapies, including Dialectical Behavioral Therapy (DBT); and motivational therapies including the use of incentives, preferred.

Required Knowledge and Abilities

Knowledge of trauma-informed theories, principles, and practices (includes multi-faceted understanding of concepts such as community trauma, intergenerational and historical trauma, parallel processes, and universal precautions), preferred.

Physical Demands

Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.

Unavoidable Hazards (Work Environment)

  • Involves routine and frequent exposure to:
    • Bright/dim light; Dusts and pollen.
    • Extreme heat and/or cold; Wet or humid conditions.
    • Extreme noise levels, Animals/wildlife.
    • Vibration; Fumes and/or noxious odors.
    • Traffic; Moving machinery.
    • Electrical shock; Heights.
    • Other extreme hazards not listed above.

Special Certifications and Licenses

  • Requires at least one of the following: Board Certified Behavior Analyst (BCBA), Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), or Texas Registered Nurse (RN).
  • Must possess and maintain a valid state Driver's License with an acceptable driving record.
  • Must be able to pass a TB, criminal background, and drug screen.

Americans with Disabilities Act (ADA) Compliance

Emergence Health Network is an Equal Opportunity Employer. ADA requires Emergence Health Network to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

Other Job Characteristics

  • Staffing requirements, including criteria that staff have diverse disciplinary backgrounds, have necessary State required license and accreditation, and are culturally and linguistically trained to serve the needs of the clinic's patient population.
  • Credentialed, certified, and licensed professionals with adequate training in person-centered, family centered, trauma informed, culturally competent and recovery-oriented care.
  • Work with clients, and family members, who are involved in the criminal justice system.
  • Responsible for adhering to the EHN common purpose and service framework to continuously provide exceptional care to all constituents.

Note: This Class Description does not constitute an employment agreement between the Emergence Health Network and an employee and is subject to change by the Emergence Health Network as its needs change.