LPN Care Manager (Hybrid Remote) (Baldwin, Mobile & Washington Counties, AL)
About The Position
AltaPointe is seeking an LPN Care Manager to coordinate and monitor physical, behavioral, and social health services for clients in Baldwin, Mobile, and Washington Counties, Alabama. The role includes reviewing clinical records, documenting findings and coordination in the Care Manager System, identifying gaps in care, managing referrals, supporting hospital transitions, monitoring service engagement and risk, and helping implement treatment plans. Care Managers manage assigned caseloads, participate in interdisciplinary discussions, and ensure documentation meets agency, Medicaid, and CCBHC standards. Reviews are documented daily; expected productivity grows from an average of 8–10 chart reviews per day during the learning period to 15–20 after training, depending on chart complexity and new-patient reviews. The position also involves supervision and consultation, respectful and confidential interactions with patients, participation in performance-improvement activities and committees, and required training.
Requirements
- At least 2 years of experience in behavioral health, care coordination, case management, or related healthcare service delivery.
- A bachelor’s degree in behavioral health, human services, nursing, public health, or a related field is preferred; alternatively, a high school diploma or equivalent and 4 years of relevant experience.
- Strong knowledge of behavioral health systems, including mental health, substance use, and social determinants of health.
- Proficiency navigating and documenting in electronic health records, including coordination systems such as Avatar or an equivalent.
- Experience with treatment planning, interagency coordination, and client engagement.
- Strong organizational and communication skills, with the ability to document accurately and follow up on tasks.
- Ability to work independently and as part of an interdisciplinary team.
- Ability to pass background checks and credentialing per agency standards.
- A valid driver’s license and reliable transportation may be required based on program location.
Nice To Haves
- Experience with high-need populations, including SMI, SED, or SUD.
- Bachelor’s degree in behavioral health, human services, nursing, public health, or a related field.
Responsibilities
- Review clinical records to assess service utilization, client engagement, and compliance with treatment plans.
- Document chart-review findings, interactions, and coordination efforts in the electronic health record and Care Manager System.
- Identify gaps in care, missed services, and follow-up needs, and take appropriate action.
- Coordinate physical, behavioral, and social health services across internal programs and external providers.
- Help clients access community services, including housing, benefits, employment supports, and substance use care.
- Generate, track, follow up on, and close referrals, confirming completion and appointment attendance.
- Conduct follow-up calls within 24 hours of psychiatric or medical hospital discharges; confirm appointments and support understanding of discharge instructions.
- Notify care team members of transitions and facilitate continuity of care.
- Monitor attendance at therapy, psychiatry, and medical appointments; address disengagement through outreach or peer-support referrals.
- Review PHQ-9 and other screening tools to track progress and inform care needs.
- Resolve referral barriers such as transportation, insurance, or documentation needs.
- Monitor client risk levels, report significant changes to the treatment team, and support crisis-response planning.
- Assist with treatment-plan implementation and coordinate updates as client needs or engagement change.
- Manage assigned caseloads, respond to alerts, complete scheduled reviews, and participate in team huddles and interdisciplinary case discussions.
- Maintain timely and accurate documentation in accordance with agency, Medicaid, CCBHC, and quality-assurance requirements.
- Seek supervision and consultation, accept suggestions for improvement, and develop care-management skills.
- Manage caseloads according to patient needs and staff with a supervisor regularly.
- Participate in performance-improvement activities and required AltaPointe committees.
- Follow AltaPointe policies and procedures and attend required in-service training and workshops.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
