Complex Transitional Care Nurse

Pay Plan Title: RN

Working Title: Complex Transitional Care Nurse

Position Number: 60139

FLSA Status: Exempt

Posting Salary Range: $66,240 - $88,595

Office Location: Remote within Trillium’s Northern or North Central Region Catchment Area in North Carolina. Counties included: Bertie, Camden, Chowan, Currituck, Gates, Halifax, Hertford, Martin, Northampton, Pasquotank, Perquimans, Warren, Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrell, Washington and Wilson.

POSTING DETAILS:

Make an Impact  

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) that manages serious mental health, substance use, traumatic brain injury, and intellectual/developmental disability services in North Carolina. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For

Trillium Health Resources has a career opening for a Complex Transitional Care Nurse! 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 foundations 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. Apply today to join this indispensable modern healthcare team!

On a typical day, you might:

• Coordinate care for assigned individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid or multi-morbid conditions.
• Collaborate with Internal Staff across discipline/teams (Care Coordinators, Clinicians, OT, COTA, Housing Specialists, Peers, etc.) to facilitate integrated care.
• Monitor the Care Plan (physical, behavioral health and social determinant concerns), service delivery and health and safety of the member.
• Perform clinical functions of discharge/transition planning and diversion including, clinical interviewing; obtaining and reviewing clinical records; identifying potential treatment needs; assessing barriers to treatment and recommending solutions; and assessing general health needs and recommending referrals.
• Complete Complex Transitional Care Nursing Assessment and other assessments as needed, to identify and link members to appropriate services/supports.  
• Coordinate and participate in Integrated Care Teams.
• Review medical history and assessments. 
• Provide education about all available services and natural and community supports, treatment options, diagnosis, etc.
• Coordinate linkage to needed psychological and physical health providers for evaluation and service implementation. 
• Ensure the coordination of care with each individual’s primary care physician and/or other identified specialty physician.

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

• A remote work option available for most positions
• Health Insurance - no premium for employee coverage
• Flexible Spending Accounts
• Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
• NC Local Government retirement pension. This is a defined-benefit retirement plan that will pay you a monthly amount upon retirement, for the rest of your life, with as little as five years of service. For more information, go to: https://files.nc.gov/retire/documents/files/Actives/LGERSHandbook.pdf
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Qualifications: 

Education:

RN

Experience:

Minimum of three (3) years as a Registered Nurse.

Preferred Experience:

• 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 preferred
• Experience assessing and coordinating care for members in adult care homes, family care homes, home residence or other settings  

License/Certification:

Fully licensed by the North Carolina State Board of Nursing as an RN required.

Must have a valid driver’s license

Location:

Remote within Trillium’s Northern or North Central Region Catchment Area in North Carolina. Counties included: Bertie, Camden, Chowan, Currituck, Gates, Halifax, Hertford, Martin, Northampton, Pasquotank, Perquimans, Warren, Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrell, Washington and Wilson.

 Must reside in NC to be considered for remote status.

Must be able to travel to a Trillium office location and within catchment as required.  

Deadline for application: Open Until Filled

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume.  Your resume must provide your level of education and detailed work experience, including: 

• Employer Name
  1. Dates of service (month & year)
  2. Average number of hours worked per week
  3. Essential duties of the job as related to the position you’re applying for
• Education
  1. Degree type
  2. Date degree was awarded
  3. Institution
• Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

You will be notified by HR on the status of your application as appropriate.  All applicants will receive a final email when the recruitment cycle for the position has closed.  

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile. 

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.

#Innovation   #Technology   #Careers   #NorthCarolina   #BehavioralHealth