Integrated Care Manager: Complex-Needs Care Coordination

Neighborhood Health Plan of Rhode Island; Smithfield (RI); On-site; USD 70,000 - 90,000; Full time

Job summary

Neighborhood Health Plan of Rhode Island seeks an Integrated Care Manager to coordinate high-risk member care with the integrated care team. Responsibilities include comprehensive assessments, care planning, referrals, and ongoing monitoring across community, home, and clinical settings.

The role requires active RI licenses (RN/LMHC/LCDP/LCSW/LICSW) and at least two years in care management or behavioral health. Strong organizational skills and independent work capability are essential.

Qualifications

• Active, current, unrestricted RI license in RN, LMHC, LCDP, LCSW or LICSW.
• Minimum of two years of care management, behavioral health, or community health experience.
• Proficient with PC-based care management software and systems.
• Strong organizational and interpersonal skills with a customer-service focus.
• Ability to work independently and prioritize activities, with reliable transportation if needed.
• Preferred: experience with Medicare/Medicaid products and managed care.

Responsibilities

• Practice care management within the scope of licensure.
• Perform comprehensive assessments and develop care plans with member, family, and care team.
• Communicate with providers to facilitate needed care and coordinate services.
• Implement care plans, coordinate referrals, and monitor outcomes.
• Revise plans based on evaluations and service gaps.
• Conduct off-site visits (home, hospital, community centers) as needed.
• Document activities in Care Management software and ensure timely communication.
• Collaborate with Provider Relations and Member Services to meet member needs.
• Provide clinical oversight to community outreach staff and participate in outreach activities.

Skills

Care management

Organizational skills

Interpersonal skills

Customer service orientation

Independent work

Education

Active RN/LMS/LCSW/LicSW license in RI

Two years of care management/behavioral health experience

Bachelor’s or Master’s degree preferred (BH or related)

Job description

Neighborhood Health Plan of Rhode Island seeks an Integrated Care Manager to coordinate high-risk member care with the integrated care team. Responsibilities include comprehensive assessments, care planning, referrals, and ongoing monitoring across community, home, and clinical settings.

The role requires active RI licenses (RN/LMHC/LCDP/LCSW/LICSW) and at least two years in care management or behavioral health. Strong organizational skills and independent work capability are essential.