Care Manager Extender

Job Details: Location: Harnett Center – Buies Creek, NC 27546. New hires who are benefit eligible may qualify for a hiring bonus. Summary Under direct and indirect supervision, provides care management functions, documentation, referral and linkage, and monitoring/follow‑up. Essential Duties and Responsibilities Provides care management extender duties, refers and links to needed services, and monitors/follow‑up with client and referrals. Provides education for health promotion. Participates in interdisciplinary treatment planning, consultation activities, and ensures all involved parties are aware of the plan of care. Provides crisis intervention to all participants of TCM and involves crisis services when needed. All other duties as assigned by supervisor. Care Management Documentation Works in conjunction with the client, family, friends, and providers who have extensive experience with the person. Assists the person to obtain the outcomes/skills/symptom reduction that they desire. Facilitates provider choice process, maintaining objectivity and providing fact‑finding assistance. Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in the consumer’s medical record prior to releasing any information when needed (Substance Use Disorders). Ensures that all information released/disclosed is documented on the Accounting of Release and Disclosure form (this includes documenting any documents given to consumer/legal guardian). Referral / Linkage Coordinates the delivery of services to reduce fragmentation of care and maximize mutually agreed upon outcomes. Facilitates access to and connects recipients to services and supports identified in the Person‑Centered Plan. Makes referrals to providers for needed services and schedules appointments with the recipient. Assists the recipient as they transition through levels of care. Facilitates communication and collaboration among all service providers and the recipient. Assists the recipient in establishing and maintaining a medical home where needed. Assists the recipient in establishing OBGYN and prenatal care as necessary. Natural Support / Services Not Funded Through the Tailored Plan Assists consumer/legally responsible person in considering and accessing natural community supports such as educational services, transportation, support from friends/family/church, etc. Ensures that the consumer gets the best possible treatment and care by carefully coordinating paid supports/services with other resources available in the community. Monitoring / Follow‑Up Ensures that the Care Management Plan is effectively implemented and adequately addresses the needs of the recipient. Determines whether services are being provided in accordance with the recipient’s plan, whether the plan is adequate and effective, whether there are changes in the needs or status of the recipient, and whether the recipient is making progress toward their goals. Documents monitoring and the actions taken/planned as a result of the monitoring in the consumer’s record. Ensures that the monitoring schedule for each consumer is sufficient to assure the health, safety, and welfare of the consumer. Coordination Works closely with the consumer/legally responsible person, provider agencies, and others involved with the consumer’s care to avoid/resolve scheduling conflicts, duplication of effort, and other problems that hinder effective treatment. Assists consumer in obtaining entitlement services whenever possible. Monitors the consumer’s continued eligibility for Medicaid and/or NC Health Choice, as applicable, and provides needed assistance to prevent coverage lapses. Units Billed Minimum Requirement High Acuity: At least four care manager‑to‑member contacts per month, including at least one in‑person contact with the member. Moderate Acuity: At least three care manager‑to‑member contacts per month and at least one in‑person contact with the member quarterly (includes comprehensive assessment if conducted in‑person). Low Acuity: At least two care manager‑to‑member contacts per month and at least two in‑person contacts with the member per year, approximately six months apart (includes comprehensive assessment if conducted in‑person). Education and/or Experience Minimum of a high school diploma or equivalent AND meet one of the following criteria: Certified Peer Support Specialists. Community health workers (CHW) who have completed the NC Community Health Worker Standardized Core Competency Training (NC CHW SCCT). Individuals who served as Community Navigators prior to the implementation of Tailored Plans. Parents or guardians of an individual with an I/DD or a TBI or a behavioral health condition (parent/guardian cannot serve as an extender for their own family member). A person with lived experience with an I/DD or a TBI or a behavioral health condition. Or 2 years of paid care management type experience with at least 1 year paid experience at any time with the population served. TCM trainings will be required to be completed as assigned. #J-18808-Ljbffr