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

Role Description

We are contracted with Healthy Blue Care Together to 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 for seamless, integrated, and coordinated health care.
• Collaborating with the Primary Care Provider, member, guardian, caregivers, family members, other members of the Care Management Team, and the community.
• Considering holistic needs of the member, inclusive of unique social and cultural dynamics.
• Residing within 20 miles of the County in which they are assigned.

Essential Functions

• Provide integrated whole-person Care Management under the CFSP 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 to facilitate desired treatment outcomes.
• Engage and maintain collaborative relationships with community provider agencies.
• Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other 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 BA/BS degree.
• A minimum of 2 years of experience working directly with people related to the specific program population or other related community-based organizations.
• Should reside within 20 miles of the County in which they are assigned.
• Maintain a valid driver’s license with current auto liability insurance.

Preferred Qualifications

• 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.
• One (1) year of experience working directly with individuals served by the child welfare system is preferred.
• CCM certification preferred.
• Should reside within 20 miles of the County in which they are assigned.
• Maintain a valid driver’s license with current auto liability insurance.

Knowledge, Skills, and Abilities

• 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 shift strategy or approach in response to the demands of a situation.
• 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.
• Routinely there may be some minor physical inconveniences or discomforts in the work setting.
• 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.