Care Transitions Care Manager – North-Central

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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 residing in institutional, congregate, or facility-based settings, including hospitals and inpatient units • Educate members, families, and guardians about integrated community-based care, available services, and informal/community resources • Facilitate member and guardian access to health, behavioral, and social service resources • Provide complex care management for members with behavioral health, physical health, co-occurring, co-morbid, or multi-morbid conditions • 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 • Identify, document, and attempt to address barriers to relocation to more integrated community settings • Engage members in state psychiatric hospitals and ACH settings about permanent supportive housing, supports, services, and community resources • Provide opportunities for members and guardians to meet peers living, working, and receiving services in community settings • Complete required documentation, paperwork, and software-platform tasks within designated timeframes • Work on an interdisciplinary team addressing Olmstead Settlement and Tailored Plan functions • Assess and monitor member health and safety, including during emergencies or weather advisories • Travel within the catchment as required

🎯 Requirements

• Must meet QP status • Fully licensed by the NC governing board regulating Human Services professions; or fully licensed RN licensed to practice in North Carolina by the NC Board of Nursing • RN pathway requires four years of full-time experience with the MH/DD/SA population served • Master’s degree in a human service field plus one year of full-time pre- or post-graduate MH/DD/SA experience, or one year of supervised alcoholism and drug abuse counseling experience • Bachelor’s degree in a human service field plus two years of full-time pre- or post-bachelor’s MH/DD/SA experience, or two years of supervised alcoholism and drug abuse counseling experience • Bachelor’s degree in a non-human-services field plus four years of full-time pre- or post-bachelor’s MH/DD/SA experience, or four years of supervised alcoholism and drug abuse counseling experience • Must have a valid driver’s license • Must reside within Trillium’s North Central Region: Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrrell, Washington, or Wilson 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 hours worked per week, essential job duties, education details, and applicable licensure/certification information

🏖️ Benefits

• A collaborative, mission-driven work environment • Competitive benefits • Work-from-home options for most positions • Opportunities for professional growth • Flexible work schedules with management approval for some roles • 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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