Care Transitions Care Manager (Mid State/Southern)

Trillium Health Resources; North Carolina; Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health Insurance with no premium for 2

Flexible Spending Accounts

24 days PTO + 12 holidays

NC Local Government Retirement Pension

401k with 5% employer match

Remote work supplies stipend

Job summary

Trillium Health Resources in North Carolina seeks a Care Transitions Care Manager to coordinate care transitions for individuals in the My Choice program for IDD. The role develops care plans, assesses needs, and connects with providers to promote continuity and improved outcomes. Remote work within the Mid State/Southern regions is available.

You will educate families, link to community resources, and support sustained participation in care plans, with travel as required to meet program goals.

Qualifications

• RN license in NC with four years of MH/DD/SA experience.
• Graduate degree (Master’s) in a human service field preferred; 1 year MH/DD/SA experience.
• Bachelor’s in human services with 2 years MH/DD/SA experience.
• Bachelor’s in non-human services with 4 years MH/DD/SA experience.

Responsibilities

• Manage ongoing care coordination for assigned individuals across settings.
• Coordinate services across providers and community resources for LTSS and HCBS.
• Educate individuals and families about services and resources in the community.
• Link individuals to community resources for integration and participation in care plans.
• Travel within catchment as required and ensure continuity of care.

Education

RN license in NC

Master’s degree in a human service field

Bachelor’s degree in a human service field

Bachelor’s degree in a field other than human services

Job description

Care Transitions Care Manager

Office Location: Remote within Trillium’s Mid State Region or Southern Region (See requirements section for included counties)

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.

Trillium Health Resources has a career opening for a Care Transitions Care Manager to join our team! The Care Transitions Care Manager provides comprehensive care coordination to support individuals transitioning between care settings and maintaining stability over time. The role assesses needs, develops care plans, and coordinates services across providers and community resources to promote continuity of care and long-term outcomes. This Care Transitions Care Manager will serve as a member of the My Choice program for IDD members currently living in an intermediate Care facility and or State Developmental Center.

• Manage ongoing care for assigned individuals to support continuity and stability across services and settings.
• Coordinate services across providers and community resources to support long-term care management in a facility setting.
• Provide education on services and resources within the community.
• Link individuals to community resources and services for community-based integration.
• Engage individuals and families to support sustained participation in services and care plans.
• flexible work schedules with some roles with management approval.

• Health Insurance with no premium for employee coverage
• Flexible Spending Accounts
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
• NC Local Government Retirement Pension (defined-benefit plan)
• 401k with 5% employer match and immediate vesting
• Quarterly stipend for remote work supplies

Fully licensed by the NC governing board regulating Human Services professions;

Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served;

• A graduate of a college or university with a Master’s degree in a human service field and has one year of full‑time, pre or post‑graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full‑time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling;
• A graduate of a college or university with a bachelor's degree in a human service field and has two years of full‑time, pre or post‑bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full‑time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling;
• A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full‑time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full‑time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.

Additionally, if serving members with Long Term Services and Support (LTSS) needs, the care manager must meet the minimum QP requirements defined above (A‑D) and shall additionally have at a minimum two (2) years of prior LTSS and/or Home and Community Based Service (HCBS) coordination, care delivery monitoring and care management experience. This experience may be concurrent with the years of experience required to become a Qualified Professional.

• Fully vaccinated against Covid‑19, Influenza (annually within Influenza season Nov 1 – March 31), MMR, Varicella and Tdap (Tetanus, diphtheria pertussis).
• MMR and Varicella - must show proof of vaccination or have blood drawn to show immunity.
• Employees must provide proof of all immunizations prior to their start date or agree to be provide proof of all immunizations within 4 months of start date.
• Must be able to travel within catchment as required.