Nurse Care Manager IHH

Are you a compassionate Registered Nurse who thrives on building connections, coordinating care, and improving lives? Join our Behavioral Health team and play a vital role in delivering integrated, person-centered care to individuals with complex medical and behavioral health needs. In this rewarding position, you'll help bridge gaps in care, advocate for patients, and work alongside a multidisciplinary team dedicated to improving health outcomes across our community.

Job Description

The Nurse Care Manager serves as a key clinical resource within our Behavioral Health program, ensuring patients receive coordinated, high-quality care across medical, behavioral health, and community settings. This role combines direct nursing care, care coordination, patient education, and clinical advocacy to support improved health outcomes and greater access to essential services.

Key Responsibilities

Care Management & Clinical Coordination

• 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.

Direct Nursing Support

• 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.

Patient & Family Education

• 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.

Team Collaboration & Quality Improvement

• 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 and Expertise

We're looking for someone who can:

• 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.

Required Qualifications

• 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.

Preferred Qualifications

• 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

Eligible full-time employees enjoy a comprehensive benefits package that includes:

• 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?

Bring your clinical expertise, compassionate care approach, and passion for helping others to a team committed to improving the health and well-being of our community. Join us and help create better outcomes, stronger connections, and healthier lives every day.

About East Bay Community Action Program

East Bay Community Action Program (EBCAP) is a non-profit 501(c)(3) organization that provides high-quality, comprehensive, and accessible health and human services to people across eastern Rhode Island. Founded as part of President Johnson's War on Poverty in 1965, EBCAP now serves ten communities with over 20 distinct programs — including primary medical and dental care, behavioral health services, early childhood education, and community support programs for children, youth, families, adults, and seniors.

Our 521 employees work across more than ten locations, addressing everything from immediate needs like food and housing to long-term health and wellness. If you are looking to make a meaningful impact on the lives of Rhode Islanders, we encourage you to apply.

Equal Opportunity Employer

East Bay Community Action Program (EBCAP) is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, pregnancy, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local law.

EBCAP is a federal contractor subject to Section 503 of the Rehabilitation Act and the Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA). We take affirmative action to employ, advance in employment, and otherwise treat qualified individuals with disabilities and protected veterans without discrimination in all employment practices.

If you require a reasonable accommodation to participate in the application or interview process, please contact People Operations at peopleoperations@ebcap.org (401) 431-9870 x1615.