[Hiring] Innovations Care Manager @Vaya Health

Role Description

The Innovations Care Manager (Innovations CM) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. The Innovations CM works with the member and care team to alleviate inappropriate levels of care or care gaps through assessment, multidisciplinary team care planning, linkage and/or coordination of services needed by the member across various health domains.

• Utilization of and proficiency with Vaya’s Care Management software platform/administrative health record (“AHR”)
• Outreach and engagement
• Compliance with HIPAA requirements, including Authorization for Release of Information (“ROI”) practices
• Performing Health Risk Assessments (HRA)
• Adherence to Medication List and Continuity of Care processes
• Participation in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management
• Transitional Care Management
• Diversion from institutional placement

Qualifications

• Bachelor’s degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services.
• Two (2) years of experience working directly with individuals with I/DD or TBI.
• Two (2) years of prior Long-term Services and Supports and/or Home Community Based Services coordination, care delivery monitoring, and care management experience.
• Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104.

Requirements

• Ability to express ideas clearly/concisely and communicate effectively.
• Effective interpersonal skills and ability to represent Vaya in a professional manner.
• Attention to detail and satisfactory organizational skills.
• Thorough knowledge of standard office practices, procedures, equipment, and techniques.
• Understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version).
• Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred.

Benefits

• Salary depending on qualifications & experience of candidate.
• This position is non-exempt and is eligible for overtime compensation.

Company Description

Vaya Health is an equal opportunity employer.