Nurse Care Manager IHH

Key Responsibilities

• Complete comprehensive patient assessments and identify barriers to care.
• Create and maintain individualized care plans that address both medical and behavioral health needs.
• Coordinate services with providers, hospitals, pharmacies, labs, specialists, and community agencies.
• Monitor patient progress and adjust interventions to support improved clinical outcomes.
• Facilitate access to healthcare services, social supports, transportation, housing resources, and other community-based assistance.
• Follow up on hospital discharges, laboratory results, referrals, and ongoing treatment needs.

• Conduct clinical triage for both walk-in and telephone patient encounters.
• Administer medications, injections, and other prescribed treatments.
• Monitor medication effectiveness and adverse reactions.
• Assist with prior authorizations and medication-related documentation.
• Support specialized clinical services, including toxicology screening and Clozaril management.
• Maintain accurate, timely documentation within the electronic health record.

• Educate patients on chronic disease management, behavioral health conditions, and medication adherence.
• Promote patient engagement and self-management strategies.
• Provide guidance and support to family members and caregivers when appropriate.

• Partner with multidisciplinary teams to deliver integrated care.
• Participate in case reviews, clinical meetings, and care planning discussions.
• Support quality improvement initiatives, grant reporting, and outcome tracking.
• Help strengthen community partnerships and referral networks.
• Contribute to the ongoing development of clinical workflows and best practices.

Skills, Knowledge & Expertise

• Exercise sound clinical judgment and make informed care decisions.
• Build strong working relationships across disciplines and community partners.
• Effectively manage multiple priorities in a fast-paced healthcare environment.
• Communicate clearly and professionally with patients, families, and providers.
• Analyze clinical information and respond proactively to patient needs.
• Maintain accuracy, organization, and attention to detail.
• Demonstrate accountability, professionalism, and confidentiality in all interactions.

• Associate's Degree in Nursing or equivalent.
• Active Registered Nurse (RN) license issued by the Rhode Island Department of Health.
• Experience providing nursing care in a clinical or community healthcare setting.
• Experience coordinating care for patients with complex medical and/or behavioral health needs.
• Valid driver's license with the ability to travel between sites and community locations as needed.

• Background in psychiatric or behavioral health nursing.
• Familiarity with integrated care models and Behavioral Health Home programs.
• Experience supporting diverse populations with chronic and behavioral health conditions.
• Knowledge of PrEP navigation, gender-affirming care, and whole-person care approaches.

Benefits

• Medical and dental insurance
• Vision coverage
• Flexible spending accounts
• 403(b) retirement plan with employer match
• Employer-paid life insurance
• Generous paid time off
• Mileage reimbursement
• Tuition reimbursement
• Professional development support
• Employee assistance program

Ready to make an impact?