Complex Transitional Care Nurse

TRILLIUM HEALTH RESOURCES • NC

79d • $63,966 - $79,115

About The Position

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. The core responsibility of the Complex Transitional Care Nurse is to develop personalized care planning strategies. This involves a thorough assessment of the patient’s unique situation, taking into account their medical history, social circumstances, and individual needs. The care plans are meticulously crafted with foundation in national evidence-based and informed standards, ensuring the delivery of whole person care. This evidence-based approach is crucial for achieving optimal patient outcomes and promoting long-term well-being.

Requirements

• Fully licensed by the North Carolina State Board of Nursing as an RN.
• Minimum of one (1) year experience as a Registered Nurse.
• Must reside in North Carolina within Guilford or Randolph County.
• Must have a valid driver’s license.
• Must be able to access a Trillium office location and within catchment as required.

Nice To Haves

• Experience working with BH/MH/SU/IDD population.
• Knowledge of QM, UM procedures as well as experience in using data analytics for population health management.
• Experience assessing and coordinating care for members in adult care homes, family care homes, home residence, or other settings.

Responsibilities

• Coordinate care for assigned individuals.
• Collaborate with internal staff to facilitate integrated care.
• Monitor the care plan, service delivery, and health and safety of assigned members.
• Complete assessments as needed.
• Perform clinical functions of discharge/transition planning and diversion.
• Provide education about all available services and natural and community supports, treatment options, diagnosis, etc.

Benefits

• Typical working hours: 8:30 am – 5:00 pm
• Work-from-home options available for most positions
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees