Care Transitions Care Manager (Southern Region/Lenoir County)

Pay Plan Title: Care Transitions Care Manager Working Title: Care Transitions Care Manager FLSA Status: Non-Exempt Posting Salary Range: $56,270 - $68,428 Office Location: Remote within 75 miles of Trillium’s Southern Region (See requirements section for included counties) POSTING DETAILS: Make an Impact Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives. Why Work for Us ? Trillium believes that empowering others begins with supporting our team. We offer our employees: - A collaborative, mission-driven work environment - Competitive benefits and work-from-home options for most positions - Opportunities for professional growth in a diverse inclusive culture Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities. If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today! What We’re Looking For Trillium Health Resources has a career opening for a Care Transitions Care Manager to join our team! The Care Transitions Care Manager is responsible for providing in reach and transition care management to members residing in institutional, congregate, or facility-based settings, including ACH’s), hospitals, inpatient units, and other qualifying settings. The Care Transitions Care Manager educates members and guardians about how to effectively navigate the physical, behavioral, and social service systems for themselves and about the existence of informal/community resources available to them; and facilitates the member/guardian access to these resources. The Care Transitions Care Manager provides care planning with foundations in national evidence based and informed standards for whole person care. The Care Transitions Care Manager provides guidance and monitoring to providers regarding social determinant needs, medical needs, and other needs of the member. The Care Transitions Care Manager completes required documentation, paperwork, and tasks in Trillium’s software platform in accordance with designated timeframes. The Care Transitions Care Manager works on an interdisciplinary team to address the functions of the Olmstead Settlement and Tailored Plan. The Care Transitions Care Manager is expected to assess and monitor the member’s health and safety, including when the Trillium Catchment is under a state of emergency or weather advisory. On a typical day, you might: - Provide age- and developmentally appropriate education for the member and the member’s family members and/or guardians about the opportunity to receive care in a more integrated community-based setting and available services in such settings. - Provide complex care management, in compliance with NCQA and any other identified regulatory/required accreditation standards, to assigned members who may have identified needs with behavioral health, physical health, co-occurring, co-morbid or multi-morbid conditions. - Provide the member and/or the member’s family members or guardians opportunities to meet with other individuals with SMI/SPMI diagnoses who are living, working, and receiving services in a community setting. - Identify, document, and attempt to address barriers to relocation to a more integrated community setting. - Engage members who are residing in such as State Psychiatric Hospitals, ACH to provide education about permanent supportive housing, supports, services, and other community resources. Employee Benefits: Trillium knows that work/life balance is essential. That’s why we offer: - Typical