Care Manager

Care Manager 1 - Non-Clinical Across All 100 NC CountiesCurrently hiring and must reside in the following NC counties: Robeson/Bladen County and neighboring countiesThis 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.About CCNCFrom the mountains to the coast, from large cities to small towns, Community Care of North Carolina is transforming health care. Informed by statewide data and predictive analytics, community-based care-managers work with local physicians and diverse teams of health professionals to develop whole-person plans of care that connect people to the right local resources and increase equity and access to high-quality care.CCNC Mission StatementTo improve the health and quality of life for all North Carolinians by building supporting better community-based healthcare delivery systems.Position SummaryOur 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 so they receive seamless, integrated, and coordinated health care to promote 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, 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 careWork 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 careProvide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-managementMonitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/familiesDevelop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicableIncorporate 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 wellnessUtilize Hospital/Data or Electronic Medical Record system as availablePer guidance, facilitate referrals for members/families to appropriate community-based services and agenciesRefer to appropriate clinical team members for interventions which are outside the Care Managers' scope of practice and/or expertiseWork collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomesEngage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilizationServe as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplicationRespect the member's values, experience, and help to empower members to be an advocate for their own careMaintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and proceduresMeet monthly productivity and role expectationsUnderstand, uphold, and abide by CCNC company and department policies, goals, standards, and objectivesAdhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguardedPerform all other duties as requestedAttend departmental and corporate meetings, local and regional trainings, or other events as requiredTravel using personal vehicle will be required within the assigned area, region and/or the StateQualifications: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 RN2 years of experience working directly with individuals served by the child welfare system is preferredMust reside in NC or within forty (40) miles of the NC BorderCCM certification preferredMaintain a valid driver's license with current auto liability insuranceKnowledge, 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 preferredKnowledge of government, private sector, and community resourcesKnowledge of Case Management principlesKnowledge of, and compliance with, federal and state regulations applicable to the positionStrong organizational and time management skillsSkills in establishing rapport with members and caregivers and applying techniques of assessing comprehensive health care needsCritical thinking skills, effective clinical judgment, independent decision-making, and problem-solving abilitiesSensitivity to diversity of cultures, language barriers, health literacy, and educational levelsAbility to work independently and function as an integral part of a multi-disciplinary teamResponds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectivesAbility to shift strategy or approach in response to the demands of a situationAbility to navigate Hospital/Data or Electronic Medical Record systems, as necessaryWorking Conditions:This is a field position. Care Manager will work remotely from home when not in the fieldMultiple 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 occurRoutinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of timeMust be able to utilize office equipment, computer, keyboard, and phone with or without assistive devicesRepetitive wrist motion and occasional lifting/carrying of up to 25 poundsTravel will be required within the assigned area or region with occasional travel in other areas of the StateWhy Join Us:Make a meaningful impact on youth and families across North CarolinaWork with a supportive and collaborative care teamCompetitive Benefits Package effective first day of employmentOpportunities for growth, training, and bonus incentives*Ready to improve the health and quality of life of all North Carolinians by building and supporting better community-based health care delivery systems?Apply today and join us in delivering compassionate care that makes a difference.Ready to improve the health and quality of life of all North Carolinians by building and supporting better community-based health care delivery systems?Apply today and join us in delivering compassionate care that makes a difference.#CCNC #HealthCare #NCHealth