LPN Care Manager (Hybrid Remote) (Baldwin, Mobile & Washington Counties, AL)

Overview

Would you like to be part of a well-established healthcare organization that is genuinely making a positive impact in our communities?

Experience is not required, as we have positions available at all levels.

Thursday, October 8th- 3030 Knollwood Drive in Mobile from 10 am - 2 pm

Responsibilities

Primary Job Functions:

Clinical:

• Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance.
• Document all findings and coordination efforts in the electronic health record using the Care Manager System.
• Identify gaps in care, missed services, or follow-up needs and take appropriate action.

Care Coordination

• Coordinate physical, behavioral, and social health services across internal programs and external providers.
• Facilitate client access to community-based services such as housing, benefits, employment supports, and substance use care.
• Ensure referrals are generated, tracked, and closed with appropriate documentation.

Hospital Discharge and Transition Support

• Conduct follow-up calls within 24 hours of psychiatric or medical hospital discharges.
• Confirm follow-up appointments are scheduled, and discharge instructions are supported and understood.
• Notify care team members of transitions and facilitate continuity of care.

Service Monitoring and Engagement

• Monitor client attendance at therapy, psychiatry, and medical appointments.
• Address patterns of disengagement, such as missed appointments, and initiate outreach or peer support referrals.
• Review PHQ-9 and other screening tools to track clinical progress and inform care needs.

Referral and Linkage Management

• Create, follow up, and close referrals in the Care Manager System.
• Communicate with service providers to confirm that referrals were completed and appointments attended.
• Resolve barriers such as transportation, insurance, or documentation needs.

Risk Identification and Response

• Monitor client risk levels and report any significant changes to the treatment team.
• Support crisis response planning by facilitating communication across care team members and community resources.

Treatment Plan Support

• Assist with treatment plan implementation by ensuring services align with identified goals and timelines.
• Coordinate updates to the treatment plan as client needs or engagement levels change.

Ongoing Caseload Management

• Manage assigned client caseloads, respond to alerts, and complete scheduled reviews as outlined in care protocols.
• Participate in team huddles and interdisciplinary case discussions.

Compliance and Reporting

• Ensure documentation meets agency, Medicaid, and CCBHC standards.
• Maintain timely and accurate entries in line with quality assurance requirements.

Productivity Standard

• Care Managers are expected to review an average of 8-10 charts per day as they build familiarity with the process and complete full chart reviews.
• Once training is completed and review skills are developed, productivity will increase to 15-20 chart reviews per day, depending on chart complexity, and new patient chart reviews.
• Documentation of reviews must be completed daily to ensure timely follow-up and coordination of care.

Supervision and Consultation:

• Seeks supervision and consultation as needed.
• Accepts and employs suggestions for improvement.
• Actively works to enhance care management skills

Clinical Record Keeping:

• Documents interactions with patients and chart reviews.
• Documents within Care Manager appropriate follow up and provision of linkage to services.

Caseload Management:

• Effectively manages caseload based on patient needs and staffs with supervisor regularly.

Administrative and Other Related Duties as Assigned:

• Actively participates in Performance Improvement activities.
• Actively participates in AltaPointe committees as required.
• Follows AltaPointe policies and procedures
• Attends required in-service training and other workshops, trainings.

Qualifications

Minimum Qualifications:

Education:

• Bachelor's degree in a behavioral health, human services, nursing, public health, or related field is preferred -or- High School diploma or equivalent and 4 years of experience in behavioral health, care coordination, case management, or related healthcare service delivery.

Experience:

• Minimum of 2 years of experience in b