Care Manager (RN/LPN) – Transitional & Community Care

ADP, Inc.; Rutland (VT); On-site; USD 37,000 - 59,000; Full time

Benefits offered by this job

Work Life Balance

Generous Time Off

Medical, dental, and vision insurance.

Health savings account option.

Robust 403 (b) retirement savings plan

Comprehensive Wellness Program.

Job summary

Community Health in Rutland, VT is seeking a Care Manager (RN/LPN) to coordinate post-discharge and transitional care for patients moving between inpatient, outpatient, and home settings. The role emphasizes addressing social determinants of health and ensuring medication education across care settings.

The position requires an active Vermont RN or LPN license, CPR certification, and experience in nursing with preference for prior case management in outpatient settings.

Qualifications

• Current Vermont RN/LPN license.
• CPR Certification.
• Prior experience working in a nursing position required; prior case management experience in a similar outpatient setting preferred.
• Experience in using a variety of electronic medical record and ability to learn other systems, basic keyboarding skills and email communication.

Responsibilities

• Provide follow-up care to identified patients based on level of complexity, social determinants of health and the identified stratification tool.
• Collaborate and coordinate care with any potential post discharge concern or barrier that has been identified.
• Provide transitional care to risk stratified patients post discharge from either outpatient or inpatient venues.
• Assure that hospital discharged patients have adequate education and knowledge of their medication list.
• Determine frequency of telephone encounters based on specific patient need.
• Identify barriers to care (includes social determinants of health) for care managed patients and will reach out to appropriate recourses based on patient needs.
• May determine at any time that a patient requires a face-to-face visit.

Skills

RN/LPN license

CPR Certification

Nursing experience

EMR literacy

Keyboarding skills

Email communication

Tools

Electronic Medical Records (EMR) systems

Job description

Community Health in Rutland, VT is seeking a Care Manager (RN/LPN) to coordinate post-discharge and transitional care for patients moving between inpatient, outpatient, and home settings. The role emphasizes addressing social determinants of health and ensuring medication education across care settings.

The position requires an active Vermont RN or LPN license, CPR certification, and experience in nursing with preference for prior case management in outpatient settings.