Care Transitions Care Manager – Mid-State

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Trillium Health Resources

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.

📋 Description

• Provide in-reach and transition care management to members in institutional, congregate, or facility-based settings, including ACHs, hospitals, inpatient units, and other qualifying settings • Educate members, families, and guardians on navigating physical, behavioral, and social service systems and available informal/community resources • Facilitate member and guardian access to community resources • Develop care plans based on national evidence-based and informed standards for whole-person care • Guide and monitor providers regarding social determinant, medical, and other member needs • Complete required documentation, paperwork, and tasks in Trillium’s software platform within designated timeframes • Work on an interdisciplinary team addressing the Olmstead Settlement and Tailored Plan • Assess and monitor member health and safety, including during state emergencies or weather advisories • Provide age- and developmentally appropriate education about integrated community-based care and available services • Provide complex care management in compliance with NCQA and other regulatory/accreditation standards • Facilitate opportunities for members and guardians to meet people with SMI/SPMI diagnoses living, working, and receiving services in community settings • Identify, document, and attempt to address barriers to relocation to integrated community settings • Engage members in State Psychiatric Hospitals and ACHs regarding permanent supportive housing, supports, services, and community resources

🎯 Requirements

• Must meet QP status • One of the following qualification paths: fully licensed by the NC governing board regulating Human Services professions; fully licensed RN licensed to practice in North Carolina with four years of full-time MH/DD/SA population experience; master’s degree in a human service field with one year of full-time MH/DD/SA experience; bachelor’s degree in a human service field with two years of full-time MH/DD/SA experience; or bachelor’s degree in another field with four years of full-time MH/DD/SA experience • Substance abuse professional alternatives require the specified supervised alcoholism and drug abuse counseling experience • Must have a valid driver’s license • Must reside within Trillium’s Mid State Region: Anson, Guilford, Montgomery, Randolph, or Richmond County, North Carolina • Must be able to travel within the catchment as required • All candidates must pass a drug test as a condition of employment • Resume must include employer names, dates of service, average weekly hours, essential duties, education details, and licensure/certification information where applicable

🏖️ Benefits

• Competitive benefits • Work-from-home options for most positions • 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 • Public Service Loan Forgiveness (PSLF) qualifying employer • Quarterly stipend for remote work supplies

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