Care Transitions Care Manager

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Deliver in-reach and transition care management to individuals in institutional, congregate, or facility-based environments, such as ACHs, hospitals, and inpatient units.

• Inform members, families, and guardians about integrated community-based care options, available services, and informal/community resources.

• Assist members and guardians in accessing physical, behavioral, and social service resources.

• Create care plans based on national evidence-based and informed standards for comprehensive whole-person care.

• Offer guidance and oversight to providers regarding social determinants, medical issues, and other member needs.

• Complete all necessary documentation, paperwork, and tasks in Trillium’s software platform within specified timeframes.

• Collaborate with an interdisciplinary team to address the Olmstead Settlement and Tailored Plan functions.

• Evaluate and monitor member health and safety, particularly during emergencies or severe weather advisories.

• Deliver complex care management that adheres to NCQA and other regulatory/accreditation standards.

• Identify, document, and strive to overcome obstacles to relocation to integrated community settings.

• Engage with members in State Psychiatric Hospitals and ACHs concerning permanent supportive housing, services, and community resources.

• Travel within the catchment area as needed.

⛳️ Requirements

• Must fulfill QP status.

• Fully licensed by the NC governing board regulating Human Services professions; or be a fully licensed RN authorized to practice in North Carolina by the NC Board of Nursing.

• Licensed RN alternative requires four years of full-time experience with the MH/DD/SA population.

• Master’s degree in a human service field plus one year of full-time MH/DD/SA experience, or one year of supervised alcoholism and drug abuse counseling experience.

• Bachelor’s degree in a human service field plus two years of full-time MH/DD/SA experience, or two years of supervised alcoholism and drug abuse counseling experience.

• Bachelor’s degree in a non-human-services field plus four years of full-time MH/DD/SA experience, or four years of supervised alcoholism and drug abuse counseling experience.

• Must possess a valid driver’s license.

• Must reside within Trillium’s Northern Region: Bertie, Camden, Chowan, Currituck, Gates, Halifax, Hertford, Martin, Northampton, Pasquotank, Perquimans, or Warren counties.

• Must be able to travel within the catchment area as needed.

• All candidates must successfully complete a drug test as a condition of employment.

• Resume must include names of employers, dates of service, average weekly hours, essential duties, educational background, and licensure/certification details if applicable.

🏝️ Benefits

• Competitive benefits package.

• Work-from-home options available for most roles.

• Opportunities for professional development.

• Flexible work schedules with management approval.

• Health insurance with no premium for employee coverage.

• Flexible Spending Accounts.

• 24 days of Paid Time Off (PTO).

• 12 paid holidays during your first year.

• NC Local Government Retirement Pension (defined-benefit plan).

• 401k with a 5% employer match and immediate vesting.

• Qualifying employer for Public Service Loan Forgiveness (PSLF).

• Quarterly stipend for remote work supplies.