Care Manager, Adult Services - RN

About the role

Alpine Physicians is hiring a Care Manager (RN) in Denver to deliver person-centered care management to Medicaid members with complex physical, behavioral health and social needs. The role covers clinical and psychosocial assessments, Transitions of Care, care plans and care coordination, and includes outbound outreach such as cold calling hard-to-reach members. It is open until filled, with applications reviewed on a rolling basis.

Key responsibilities

• Perform comprehensive clinical and/or psychosocial assessments for high-risk, medically complex and high-barrier members.
• Develop, implement and update individualized care plans covering medical, behavioral health, psychosocial and environmental needs.
• Manage transitions of care after hospitalization, ED visits, facility stays or behavioral health transitions, and complete follow-up within set timelines.
• Coordinate care with PCPs, specialists, facilities, caregivers and community agencies, and connect members to community and behavioral health resources.
• Address barriers such as housing, transportation, food insecurity, caregiver support, financial strain, behavioral health and substance use concerns.
• Educate patients and caregivers and use motivational interviewing, engagement strategies and de-escalation techniques.
• Escalate urgent clinical, psychosocial, crisis or safety concerns and escalate them appropriately.
• Maintain timely, accurate, compliant documentation and protect member privacy under HIPAA.
• Represent the organization at community events and give presentations, with evening and weekend availability.

Required profile

• Active unrestricted RN license in good standing, licensed in the state where the population is served.
• 1+ year of experience in care management, care coordination, case management, behavioral health, social work, utilization management, transitional care or related fields.
• Experience with high-risk, medically complex or psychosocially complex populations and with transitions of care.
• Preferred: Medicare Advantage, Medicaid, DSNP and CSNP experience, value-based care or population health experience, case management certification, bilingualism, and home-office work.

Required skills

• Proficiency with EMR and care-management documentation systems.
• Strong clinical and psychosocial assessment, care planning and coordination skills.
• Crisis support, de-escalation and motivational interviewing skills.
• Ability to meet productivity expectations and documentation timelines.

What we offer

• Salary range of $63,502.40-$90,719.20, with an annual performance bonus.
• Medical, dental and vision insurance, 401(k), paid time off and an Employee Assistance Program.