MHSU Nurse Care Manager, RN (Mobile)-NC

Mobile Care Management Position

Competitive Compensation & Benefits Package!

Position eligible for:

• Annual incentive bonus plan
• Medical, dental, and vision insurance with low deductible/low cost health plan
• Generous vacation and sick time accrual
• 12 paid holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company paid life and disability insurance
• Wellness Programs
• Public Service Loan Forgiveness Qualifying Employer

Office Location: Mobile position; Available for any of Partners' NC locations

Projected Hiring Range: Depending on Experience

Closing Date: Open Until Filled

Primary Purpose of Position:

This position is responsible for providing proactive intervention and care management (treatment planning, assessment, referral/linkage, and monitoring) to individuals in identified special healthcare needs populations and identified high risk/high cost populations through the four quadrant model system, most specifically those identified with high behavioral health condition and co-occurring physical health condition(s). The focus of this position is to ensure that these individuals receive appropriate collaborative care assessment and services.

This is a mobile position with work done in a variety of locations.

Role and Responsibilities:

• Serves as the point of contact regarding collaborative care for care coordination teams.
• Collaborates with the CCNC care managers to ensure identified members are connected with behavioral health clinical homes and primary care physicians
• Provides care management as needed (informing, researching, linking, assessing need, reviewing documentation, phone communication, attendance at treatment team meetings, and consultation) to members with mental health, substance use, and/or developmental disability diagnosis of all ages as well as their families and service providers in order to link them with appropriate medical services and/or resources
• Ensures members have appropriate medical care and have a medical home
• Facilitates medication reconciliation, as needed
• Assists families in developing necessary skills and resources to improve health status, family functioning, self-sufficiency
• Ensures that the Comprehensive Care Management Assessment is given and interpreted accurately to ensure that the medical needs of our members are being met by working with MHSU Care Managers, Liaisons, Members, and CCNC
• Assesses members and provides guidance to them and their families about health care needs, ensure patients understand every aspect of their care, and make decisions that are in the best interest of the patients
• Ensures members are satisfied with their health care, also ensure that a facility is providing high quality care services, as well as work with administration, staff and patients to reach health care goals
• Delivers health education to the target population related to disease prevention, screenings, and health behaviors
• Risk Management – Proactively ensures that an individual identified as a Special Healthcare Needs enrollee, who has treatment needs or requires regular monitoring, has a Behavioral Health Clinical Home and a Medical Home
• Ensures that a Person Centered Plan (PCP) is developed by a Behavioral Health Clinical Home or, if necessary, by the Care Manager to meet urgent needs and to access care for the individual
• Convenes key providers and others to address needs of the individual, through team meetings
• Identifies gaps in services and intervenes to ensure that the individual receives appropriate care
• Measures results of intervention and treatment, including reduction in high risk events and in appropriate service utilization
• Ensures that services for the individual are coordinated across the LME/MCO's system and with other systems, including primary care
• Provides clinical discharge planning assistance in collaboration with local hospitals and tracks individuals discharged from state and local hospitals to ensure they follow up with after care services, and receive needed assistance to prevent further hospitalizations

Collaboration:

• Manages and facilitates Child/Adult High Risk Team meetings in collaboration with CCNC Care Managers, and other community stakeholders as appropriate
• Works in partnership with other LME/MCO departments to address identified needs within the catchment area

Knowledge, Skills and Abilities:

• Extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version)
• Considerable knowledge of the MH/SU/IDD service array provided through the network of the LME/MCO's providers
• Knowledge of LME/MCO's implementation of the 1915(b/c) waivers and accreditation
• Highly skilled at assuring that both long and short range goals and needs of the individual are addressed and updated, while assuring through monitoring activities that service implementation occurs appropriately
• Exceptional interpersonal and communication skills
• Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and PowerPoint)
• Excellent problem solving, negotiation, arbitration, and conflict resolution skills
• Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish
• Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships
• Ability to change the focus of his/her activities to meet changing priorities
• A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance

Education/Experience Required: Licensed to practice as a Registered Nurse in North Carolina and two (2) years of experience in mental health or substance use disorders.

For Dual Diagnosis (MHSU/IDD) – experience in intellectual/developmental disabilities.

Other requirements:

• Must reside in North Carolina.
• Must have ability to travel as needed to perform the job duties

Education/Experience Preferred: Licensed to practice as a Registered Nurse in North Carolina and two years of experience in psychiatric nursing; care management/care coordination experience. Experience in collaborative care.

Licensure/Certification Requirements: Must be licensed as a Registered Nurse in North Carolina. Employee is responsible for complying with respective licensure board's continuing education/training requirements in order to maintain an active license.