Transitional Care Manager

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer.

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works.

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT2.

The Transitional Care Manager will be is responsible for a broad range of skills, clinical expertise and proficiency in complex case management, utilization review, and care coordinator of at-risk members during admission and set-up transition plans post discharge 7-14 days from an inpatient facility.
The Transitional Care Manager will be people-centered, supportive and flexible to get the most of his/her members; focused on navigating member through the care continuum to improve quality of life, health outcomes while decreasing unnecessary emergency room visits and avoidable admissions.

The Transitional Care Manager will provide face-to-face, telehealth and telephonic complex case management to assigned members at the inpatient facilities and in the community to meet members where they are in their health and life. Support case management, care coordination, disease management and utilization management using various interventions

Education & Experience Requirements:

• Licensed Registered Nurse with 3 years related complex case management and 3 years of diverse clinical background in >2 care settings (hospital, SNF, home health, rehab);
• Must be willing to travel up to 75% of the time to local area hospitals, SNFs or community organizations to visit members and build relationships with staff;
• Bachelors with Case Management or Care Coordination certification (CCM or CCTM) preferred;