Overview UVM Health is hiring a Community Care Manager to join their team at UVM Health- Elizabethtown Community Hospital and Ticonderoga Campus .
Location and schedule: Hybrid role with work location divided between ECH/Ti Emergency Department, community, and remote (home) office. Part time with 40 scheduled bi-weekly hours.
Job Description Our Community Care Manager coordinates and delivers an innovative approach to identified patients eligible for WRAP (Working to Reduce Admissions Program). They promote effective utilization and monitoring of health care resources and work alongside interdisciplinary teams to achieve patient-centered, clinical, and resource outcomes. They are responsible for managing the WRAP population through the WRAP program and process in alignment with programmatic policies and procedures. They actively participate in mentorship, training, and process improvement within their assigned organization and throughout UVMH.
Core Competencies and Skills 1. Clinical Expertise & Case Management
Strong knowledge of care management standards and evidence-based practices.
Experience in care coordination and managing complex patient populations.
Ability to assess and intervene in psychosocial, mental health, and chronic care situations.
Familiarity with Medicare, Medicaid, and insurance structures.
2. Communication & Interpersonal Skills
Excellent verbal and written communication.
Ability to build honest, trusting relationships with patients, families, and interdisciplinary teams.
Cultural competence and sensitivity to diverse populations.
3. Critical Thinking & Problem Solving
Identify Drivers of Utilization (DOU) and propose alternative care plans.
Ability to assess risk, manage transitions of care, and coordinate community resources.
Data-driven decision-making and program evaluation.
4. Teamwork & Collaboration
Works effectively within interdisciplinary teams including pharmacists, care coordinators, and social agencies.
Promotes a culture of teamwork, respect, and ethical practice.
Supports mentorship and training initiatives.
5. Professionalism & Accountability
Upholds organizational mission, values, and standards of excellence.
Maintains confidentiality and complies with regulatory requirements (e.g., HIPAA).
Demonstrates integrity, fairness, and commitment to continuous improvement.
6. Technical & Regulatory Knowledge
Understanding of clinical guidelines, legal issues, and compliance standards.
Proficient in documentation and use of care management systems.
Maintains up-to-date knowledge of community and network resources.
Education Master's in Social Work (MSW) from an accredited school of social work. LICSW preferred. OR Nursing Pathway: Current RN licensure or compact licensure recognized by the State of Vermont required. OR Master's degree from an accredited institution in a Health or Human Services field. Licensure preferred. Case management accreditation by a nationally recognized accrediting body for case management (examples: CCM, ACM or ANCC certifications), preferred; or commitment to obtain upon hire.
Note: The original contains optional pathways and accreditation wording; this has been retained in plain text and reformatted.
Experience 2-3 years of clinical experience in a healthcare setting (or equivalent). Care Management/Care Coordination experience required.
Benefits At UVMH, we support our employees as passionately as we care for our patients. We offer a comprehensive, total compensation package that includes salary, health and wellness benefits, paid time off, and more.
Benefits link: www.uvmhealth.org/medcenter/health-careers/benefits
Learn More What is it like working here? www.uvmhealthnetworkcareers.org/diversity-equity-inclusion.html
Learn more about our team: www.uvmhealth.org/care-management
Find more information about University of Vermont Health Network here: www.uvmhealth.org/about-uvm-health-network