Care Manager 1 - Non-Clinical -Surry County

What You'll Do

• Provide integrated whole‑person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health‑related needs.
• Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care.
• Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care.
• Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self‑management.
• Monitor quality and effectiveness of interventions to the enrolled populations by setting patient‑centered SMART goals in collaboration with the members/families.
• Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable.
• Incorporate therapeutic skills and techniques such as trauma‑informed care, motivational interviewing, strengths‑based, and solution‑focused modalities to help members achieve healing, growth, health, and wellness.
• Utilize Hospital/Data or Electronic Medical Record system as available.
• Per guidance, facilitate referrals for members/families to appropriate community‑based services and agencies.
• Refer to appropriate clinical team members for interventions which are outside the Care Manager’s scope of practice and/or expertise.
• Work collaboratively with multi‑disciplinary team members to facilitate achievement of desired treatment outcomes.
• Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost‑effective health care utilization.
• Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication.
• Respect the member’s values, experience, and help to empower members to be an advocate for their own care.
• Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures.
• Meet monthly productivity and role expectations.
• Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives.
• Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded.
• 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.

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 and applying techniques of assessing comprehensive health care needs.
• 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 to ensure coordination of services; 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, including sitting for moderate periods of time.
• 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

• Competitive Benefits Package effective first day of employment.
• Opportunities for growth, training, and bonus incentives.