Hiring: Community Team Care Manager Company: AbsoluteCare Location: Pittsburgh, PA Job Posted Time: 2026-09-12 13:00:21 Target Skills & Keywords : EMR, Electronic Health Records, Microsoft Office About the job Experience: •3+ years of experience serving medically complex populations with behavioral health, trauma, substance use, and socioeconomic barriers in office, home, and community-based settings. Required Skills: •Success in this role will be measured by value-based care metrics, including member engagement with the healthcare team, improved utilization management outcomes related to admissions, readmissions, and emergency department visits, and performance on quality measures related to preventive care and chronic condition management. •Serve as the clinical and operational lead for a community pod, overseeing community health workers in the delivery of both longitudinal and episodic care management for members. •Be a part of Transitions of Care team to ensure safe and effective discharge planning, promoting continuity of care back into the community and reducing avoidable hospital admissions & readmissions and unnecessary emergency department visits through proactive coordination and follow-up. •Oversee and coordinate care for an assigned panel of members within a specific region, ensuring comprehensive and consistent support for all regional members. •Provide direct case management for a small panel of the most complex members, conducting comprehensive assessments and developing person-centered care plans (PCCPs) that prioritize and address health goals in collaboration with members, families, and the interdisciplinary team. •Conduct assessments and develop person-centered care plans (PCCPs) with delegated care plan tasks and oversight to CHWs, ensuring accountability and support through regular communication, supervision, and coaching. •Lead daily morning huddles to review team activities, set priorities, and drive accountability towards achieving key performance indicators—including member engagement, annual wellness exams, care gap closures, appropriate utilization, and PCP program enrollment. •Conduct quarterly care plan oversight visits for assigned members, ensuring high-quality, person-centered care and adherence to evidence-based clinical standards. Qualifications: •Willingness and ability to travel up to 80% of the time to member homes, healthcare facilities, and community locations. •Licensed RN by the state in which practicing and abide by all laws, regulations, and requirements. •Highly desirable preference given to RN candidates with extensive experience of medical and behavioral case management in the community. Candidate with CCM a plus. LMSW with similar job experience and certifications may be considered. •In lieu of CCM credential, 3+ integrated case management experience. Must obtain CCM within 24 months of hire date. •Demonstrated ability to work effectively in matrixed team environments, with strong skills in delegation, supervision, and accountability. •In-depth knowledge of value-based outcomes, quality programs (NCQA, PCMH, HEDIS), and performance management. •Excellent computer skills (Microsoft Office Suite, EMR systems) and written/oral communication abilities. •Active, unencumbered driver’s license, automobile insurance, and reliable transportation required. •This job operates in the community and within a professional office environment. This role requires reliable transportation to commute back and forth between member homes and office; and routinely uses general office equipment. •Demonstrated capacity to communicate clearly and exchange accurate information constantly. Compensation: •$80-90K base with a sign on bonus up to $5,000 Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!