[Hiring] Care Manager 1 - Non-Clinical @Community Care of North Carolina Inc

Role Description

We're hiring Care Manager 1 - Non-Clinical across all 100 NC Counties - Must reside in NC or within 40 miles of NC border. This is a field-based position with working remotely, when not providing integrated services to members directly. Occasional in-person training and travel will be required.

Our new program, the Care Manager 1 - Non-Clinical, will provide statewide care management to support Medicaid enrolled members receiving adoption assistance. Care Managers address the needs of the population served by:

• Assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required.
• Promoting quality, cost-effective health outcomes.

Collaboration with the Primary Care Provider, member, guardian, caregivers, family members, other members of the Care Management Team, and the community is necessary to coordinate a full continuum of health care services. Holistic needs of the member, inclusive of unique social and cultural dynamics should be considered.

The Care Manager must reside in NC or within 40 miles of the NC Border.

What You'll Do:

• Provide integrated whole-person Care Management under the new program Care Management model.
• Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs.
• Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers.
• Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors.
• Monitor quality and effectiveness of interventions by setting patient-centered SMART goals.
• Develop, review, implement, and evaluate the member care plan in partnership with relevant stakeholders.
• Incorporate therapeutic skills and techniques such as trauma-informed care and motivational interviewing.
• Utilize Hospital/Data or Electronic Medical Record system as available.
• Facilitate referrals for members/families to appropriate community-based services and agencies.
• Refer to appropriate clinical team members for interventions outside the Care Managers’ scope of practice.
• Work collaboratively with multi-disciplinary team members.
• Engage and maintain collaborative relationships with community provider agencies.
• Serve as a liaison among the member/family/guardian, community services, and care team members.
• Respect the member’s values and empower members to advocate for their own care.
• Maintain appropriate documentation in the Care Management documentation platform.
• Meet monthly productivity and role expectations.
• Understand, uphold, and abide by CCNC company and department policies.
• Adhere to CCNC privacy, security policies, and HIPAA regulations.
• Perform all other duties as requested.
• Attend departmental and corporate meetings, local and regional trainings, or other events as required.
• Travel using personal vehicle will be required within the assigned area, region and/or the State.

Qualifications

• Requires a Bachelor's Degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area or licensure as an RN.
• 2 years of experience working directly with individuals served by the child welfare system is preferred.
• Must reside in NC or within forty (40) miles of the NC Border.
• CCM certification preferred.
• Maintain a valid driver’s license with current auto liability insurance.

Requirements

• Computer skills required including various office software and the internet, including experience with MS Office software.
• Excellent communication skills – oral and written; Bilingual preferred.
• Knowledge of government, private sector, and community resources.
• Knowledge of Case Management principles.
• Knowledge of, and compliance with, federal and state regulations applicable to the position.
• Strong organizational and time management skills.
• Skills in establishing rapport with members and caregivers.
• Critical thinking skills, effective clinical judgment, independent decision-making, and problem-solving abilities.
• Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels.
• Ability to work independently and function as an integral part of a multi-disciplinary team.
• Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives.
• Ability to navigate Hospital/Data or Electronic Medical Record systems, as necessary.

Working Conditions

• This is a field position. Care Manager will work remotely from home when not in the field.
• Multiple contacts, face to face and/or telephonic, are required with various members, providers, multi-payer systems and community partners.
• Exposure to general office and household conditions, as well as communicable disease could occur.
• Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices.
• Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds.
• Travel will be required within the assigned area or region with occasional travel in other areas of the State.

Benefits

• Make a meaningful impact on youth and families across North Carolina.
• Work with a supportive and collaborative care team.
• Competitive Benefits Package effective first day of employment.
• Opportunities for growth, training, and bonus incentives.