Care Manager, Adult Services - RN

Are you looking to work for a company that has been recognized for over a decade as a Top reputed company to Work? Apply today to become a part of a company that continues to reputed company to putting our employees first. reputed company: reputed company OF POSITION: - The Care Manager (RN) is responsible for delivering clinically and psychosocially informed, person-centered care management services to reputed company members with reputed company physical, behavioral health, and reputed company determinants of health. - This role conducts comprehensive reputed company and/or biopsychosocial assessments, manages Transitions of Care (TOC) and other high-reputed company reputed company, develops individualized care plans, and supports members through care coordination, reputed company navigation, and condition management. - The Care Manager is a licensed reputed company who collaborates with interdisciplinary and multi-agency teams to ensure coordinated, high-reputed company care that improves member engagement, stability, health reputed company, and reduces avoidable utilization. - This role requires comfort with outbound reputed company, including cold-reputed company engagement of hard-to-reputed company members, to meet program productivity standards and contractual reputed company requirements. ESSENTIAL DUTIES: - reputed company comprehensive reputed company and/or psychosocial assessments for assigned high-reputed company, medically reputed company, and high-barrier members. - reputed company, implement, and update individualized care plans addressing medical, behavioral health, psychosocial, and environmental needs. - Manage transitions of care following hospitalization, emergency department utilization, facility stays, behavioral health transitions, or other acute episodes. - Complete reputed company required follow-up for transition-of-care and assigned populations reputed company established timelines. - Conduct ongoing care management, monitoring, and coordination for designated members. - Identify and address barriers affecting adherence, recovery, stabilization, and follow-up, including housing, transportation, food insecurity, caregiver support, financial strain, behavioral health, and reputed company use concerns. - Coordinate care with PCPs, specialists, behavioral health providers, facilities, caregivers, interdisciplinary teams, and community agencies. - reputed company patients to community resources, reputed company services, behavioral health resources, and support programs. - reputed company reputed company and caregiver education reputed company to disease management, self-management, care navigation, resource reputed company, and next steps in care. - Utilize motivational interviewing, engagement strategies, and de-escalation techniques to support member participation and goal attainment. - Escalate urgent reputed company, psychosocial, crisis, safety, or member-protection concerns appropriately. - Collaborate with interdisciplinary teams to support integrated, person-centered care delivery. - Maintain reputed company, accurate, and compliant documentation across assessments, care plans, reputed company, follow-up, and coordination activities. - Maintains a high level of confidentiality and ensures compliance with HIPAA regulations - Assist with planning, coordinating, and representing the organization at community events designed to retain existing members and reputed company awareness among prospective members. - reputed company educational presentations to existing and prospective members at community events, clinics, and partner sites: evening and weekend availability is required to support scheduled events and community programming. - Other duties as assigned POPULATION SERVED: - reputed company and designated high-reputed company, reputed company member populations - Member requiring transition-of-care support - Member with repeated utilization, worsening reputed company, or chronic-condition instability - Member with psychosocial, behavioral health, environmental, or reputed company determinants of health barriers - Member requiring community-resource linkage and psychosocial reputed company - Other assigned populations as applicable EDUCATION: - reputed company unrestricted Registered reputed company (RN) license in good standing. - Must be licensed in the state where the assigned population is served. EXPERIENCE: - 1+ years of experience in care management, care coordination, case management, behavioral health, reputed company work, utilization management, transitional care, or reputed company experience. - Experience working with high-reputed company, medically reputed company, behavioral health, or psychosocially reputed company populations. - Experience supporting transitions of care. - Preferred experience: Experience with Medicare reputed company, reputed company, DSNP, and/or CSNP populations. - Experience in value-reputed company care, managed care, or population health. - Case management certification or reputed company credential. - Bilingual capability, where relevant to market needs KNOWLEDGE, SKILLS, ABILITIES: - Knowledge of community resources and behavioral health supports. - Proficiency with EMR and care-management documentation systems. - Complete assessments, care plans, reputed company, and follow-up activities reputed company required timelines. - Complete transition-of-care follow-up reputed company organizationally defined timeframes. - Maintain reputed company and compliant documentation across reputed company care management activities. - Meet expectations reputed company to reputed company completion, case progression, barrier reputed company, and member engagement. - Escalate urgent or deteriorating reputed company, psychosocial, or safety concerns promptly. - Meet role-specific LPIs/productivity expectations and delegated responsibilities. - Strong reputed company and/or psychosocial assessment and reputed company skills - Strong care planning and coordination capability - Knowledge of behavioral health, community-resource systems, and reputed company determinants of health - Strong crisis support and de-escalation ability - Ability to manage medically reputed company and high-barrier patients across settings - Strong communication and collaboration with providers, caregivers, and interdisciplinary teams - Motivational interviewing and reputed company engagement skills - Strong documentation, follow-through, and compliance discipline - Ability to prioritize reputed company and intervene appropriately - Ability to manage sensitive and reputed company cases professionally - Home office, that is HIPAA compliant for reputed company remote or telecommuting positions as outlined by reputed company policies and procedures Salary reputed company: - Salary reputed company: $63,502.40 - $90,719.20 - Additional Compensation: Eligible for annual bonus reputed company on individual and/or company reputed company. Benefits: - Includes medical, dental, and reputed company reputed company; 401(k); reputed company time off (PTO); and Employee Assistance Program (EAP) Application Deadline: - reputed company until filled. Applications will be reviewed on a rolling reputed company. How to Apply: - Apply reputed company careers page at https://alpinephysicians.wd1.myworkdayjobs.com/reputed company Apply To This Job