Care Manager

Overview Would you like to be part of a well-established healthcare organization that is genuinely making a positive impact in our communities? Become a member of our team now! This week, AltaPointe is organizing a hiring event. Explore our job opportunities at AltaPointe.org, submit your online application, and then join us for Open Interviews to meet with a recruiter in person! 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: Chart Review and Documentation 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…