Director-Care Transitions (Full Time, Remote, North Carolina Based)

Alliance Health Plan; Morrisville (NC); Remote; USD 119,000 - 152,000; Full time

Benefits offered by this job

Generous retirement savings plan

Hybrid/remote work options

Paid time off

Job summary

Alliance Health Plan seeks a Director of Care Transitions to lead the Facility-Based Care Management team. The role focuses on coordinating care for members with complex physical and behavioral health needs during transitions between facilities.

The position is primarily remote with occasional in-office meetings in North Carolina. Requires a Master's degree and active NC licenses, plus several years of supervisory experience in health-related programs.

Qualifications

• Required: Master's degree in one of the listed fields and five years of related experience.
• Active NC Clinical License (LCSW, LMFT, LCMHC, LPA, or RN) is required.
• Multiple degrees may be accepted with supervisory/administrative experience.

Responsibilities

• Lead the Facility-Based Care Management team to support members with complex needs.
• Oversee care transitions to ensure continuity and minimize gaps.
• Develop staff through coaching, training, and performance feedback.
• Collaborate with hospitals, CMA and AMH+ care management models.
• Ensure compliance with licensure, regulatory, and accreditation requirements.

Skills

Leadership

Staff supervision

Communication

Care management

Discharge planning

Data analysis

Microsoft Office

Education

Master's degree in Education

Master's degree in Psychology

Master's degree in Public Administration

Master's degree in Public Health

Master's degree in Social Work

Master's degree in Sociology

Nursing degree (RN)

Job description

If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you will find the contact information to request the appropriate accommodation by visiting the following our Accessibility Accomodation for Applicants page.

Director-Care Transitions (Full Time, Remote, North Carolina Based)

• Posted on November 2, 2026

Locations

Showing 1 location

Home Office
Morrisville, NC 27560, USA

• Remote
• Care Management
• Full-Time
• Requisition #: DIREC003565

Description

The Director of Care Transitions serves as the primary program lead for the Facility-Based Care Management team within the Care Management department. The Director of Care Transitions is responsible for directing the specialized support provided to members with complex physical and behavioral health needs while transitioning between care facilities. The Director of Care Transitions ensures clinical and operational excellence in care transition activities, focusing on maintaining continuity of care across various healthcare settings and provider models.

This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.

Responsibilities & Duties

Manage and Develop Staff

• Work with Human Resources to attract, maintain, and retain a highly qualified and well-trained workforce
• Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes
• Provide direct clinical and administrative supervision of team members. This may include routine clinical review of cases, interpretation of census data, and advising team members regarding outreach to network providers regarding cases where care teams are engaged
• Organize workflows and ensure staff understand their roles and responsibilities
• Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements
• Actively establish and promote a positive, diverse, and inclusive working environment that builds trust
• Ensure all staff are treated with respect and dignity
• Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members
• Work to resolve conflicts and disputes, ensuring that all participants are given a voice
• Set goals for performance and deadlines in line with organization goals and vision
• Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development
• Cultivate and encourage efforts to expand cross-team collaboration and partnership

Oversee Department/Unit Operations

• Guide efforts of care teams in supporting members with service engagement, assessing impact and seeking resolution of disparities regarding social determinants of health, monitoring census risk stratification for changes that will impact overall management of cases served
• Monitor program dashboard and other departmental reports and respond to risks identified
• Oversee development of educational materials for members regarding risks/benefits of physical health and/or behavioral health related services if needed in collaboration with community/network providers

Program Leadership & Clinical Oversight

• Lead the Facility-Based Care Management team in supporting members with complex physical and behavioral health needs
• Establish behavioral and physical health outcome targets for the Facility Based Care Managers
• Manage specialized transition initiatives for facility-based members, including those in SNF, hospital, crisis, and ADATC settings

Care Transition Management

• Oversee all Plan-to-Plan and PLE-to-PLE transition activities
• Ensure continuity of care and minimize service gaps during member transitions

Strategic Alignment & Collaboration

• Coordinate with Provider Network Directors to align physical health outcomes with Care Management Agencies and Advanced Medical Homes (AMH)
• Collaborate interdepartmentally to implement a cohesive, whole-person care model
• Align departmental processes to ensure coordinated service delivery for both members and staff

Develop Policies, Procedures, Processes, and Workflows

• Use a care management approach when developing policies, procedures and workflows which impact the work of the department
• Collaborate with Medical Management team on development and implementation of clinical decision-making workflows. Analyze care management trends and collaborate with Medical Management on interpretation and business action steps
• Develops workflow and collaborates across Alliance departments to understand data from a variety of sources as this relates to the physical health care risk and need for support of members served

Collaborate with Internal Departments and External Stakeholders

• Represent the Transition of Care and/or Care Transitions in Network provider-related performance discussions to ensure agreement of desired outcomes across care teams, CMA and AMH+ care management models. This may include collaboration with hospitals and other behavioral health inpatient and/or physical inpatient units within the Alliance Health network
• Lead consultation and outreach to community based physical health and behavioral health providers serving members with care team involvement
• Maintain effective interpersonal relations with Alliance staff, providers, partners and community stakeholders

Education & Experience

Required :

Master's degree from an accredited college or university in mental health, public health, social work, psychology, education, sociology, business or public administration and five (5) years of experience in a community, business, or governmental program in health-related fields, social work, or education, including three (3) years of supervisory, consultative or administrative experience;

Or

Graduation from an accredited school of nursing and seven (7) years of experience in a community, business, or governmental program in health-related fields, social work, or education, including three (3) years of supervisory, consultative or administrative experience.

Active NC Clinical License LCSW, LMFT, LCMHC, LPA, or RN is required.

Preferred :

Experience in a physical health and/or behavioral health setting working with diverse populations preferred.

Experience in Utilization Management or discharge planning is preferred.

Knowledge, Skills, & Abilities

• Thorough knowledge of discharge planning, services/interventions for individuals with physical health, intellectual/ developmental disabilities, traumatic brain injury, mental health, and/or substance use disorders
• Thorough knowledge of whole person care and population health approaches to care management
• Problem solving and program analysis skills to assist in implementation and evaluation of programs and pilot projects
• Proficient with Microsoft Office software and familiarity with data analytics programs and reporting
• Strong oral and written communication skills.
• Exceptional interpersonal skills,
• Detail oriented and able to independently organize multiple tasks and priorities and effectively manage under pressure of deadlines.
• Ability to build and maintain positive relationships with internal and external customers and stakeholders.

Salary Range

$119,264 - $152,062/ Annual

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity

An excellent fringe benefit package accompanies the salary, which includes:

• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

Want to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: https://youtu.be/1GZOBFx61QU

Qualifications

Education

Required

Masters or better in Education.

Masters or better in Psychology.

Masters or better in Public Administration.

Masters or better in Public Health.

Masters or better in Social Work.

Masters or better in Sociology.

Nursing or better in Nursing.

Licenses & Certifications

Required

Driver License

Lic Clinical MH Counselor

Lic Clinical Social Wkr

Lic Marr & Family Ther

Lic Psychological Assoc

Registered Nurse

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.