Care Manager II (Full Time, Mecklenburg County, North Carolina Based)

Care Manager II (Full Time, Mecklenburg County, North Carolina Based) Posted on May 15, 2026 Locations Mecklenburg Office, 8520 Cliff Cameron Drive, Ste 300, Charlotte, NC 28269, USA Hybrid – onsite attendance at the Alliance Office as needed; weekly travel within Mecklenburg and surrounding counties Description The Care Manager II position leads all communication among care team members and serves as the primary point of contact for the member served. Full‑time hybrid opportunity. No routine office attendance required; candidate must be available to report onsite to the Alliance Office (Charlotte, North Carolina) for business meetings as needed. The candidate will also travel weekly throughout Mecklenburg and surrounding counties to meet with members, providers, and community stakeholders. Responsibilities & Duties Complete Assessment/Planning Complete comprehensive assessments at enrollment, yearly, or at changes in condition. Develop Plans of Care derived from the completed assessments. Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities. Submit referral to the Integrated Health Consultant when a physical or behavioral health need indicates medical and/or pharmaceutical complexity. Assign Plan of Care activities to Community Health Worker if the member has identified social determinants of health (SDOH), disparities or complex payer issues. Assist individuals or legally responsible persons in choosing service providers; ensuring objectivity in the process. Consistently evaluate appropriateness of services and ensure implementation of the plan of care through information gathering and assessment at defined frequency of contact based on risk stratification. Utilize person‑centered planning, motivational interviewing and historical review of assessments in Jiva to gather information and identify supports needed for the individual. Actively collaborate with care team, members and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals. Submit required documentation to UM to ensure timely delivery of services and troubleshoot until authorization is obtained; notify providers of successful authorization. Provide Support and Monitoring Schedule initial contact with member to verify accuracy of demographic information. Update inaccurate information from the Global Eligibility File. Schedule face‑to‑face meeting with member/LRP to provide education about Alliance, Care Teams, and services. Provide education and support to individuals and LRP in learning about and exercising rights; explain grievance and appeals process, available service options, provider options, and payer requirements. Refer members in crisis or institutional care settings requiring assistance with returning to community‑based services to the Integrated Health Consultant. Recognize and report critical incidents and provider quality concerns to supervisors and Quality Management. Complete activities in JIVA related to Plans of Care developed from the Care Management Comprehensive Assessment. Coordinate with other team members to ensure smooth transition to appropriate level of care. Attend treatment meetings with member, natural supports and selected providers. Schedule, coordinate and lead team conference calls on behalf of member needs. Communicate with member to check on status, verify care needs are met and that no new clinical needs warrant a change in condition assessment. Promote customer satisfaction through ongoing communication and timely follow‑up on concerns or issues. Verify that ongoing service adherence is maintained through monitoring. Complete Documentation Obtain and upload all supporting documentation, legally responsible person verification, and release of information that will improve care management activity on behalf of the member. Open new episodes in JIVA and schedule initial contact with member to verify accuracy of demographic information. Document all applicable member updates and activities per organizational procedure. Escalate complex cases and cases of concern to Supervisor. Distribute surveys to members in service. Ensure that service orders/doctor’s orders are obtained, as applicable. Share appropriate documentation with all involved stakeholders as consent to release is granted. Obtain releases/documentation and provide to all stakeholders involved. Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information. Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care. Ensure all clinical documentation (e.g., goals, plans, progress notes) meets state, agency documentation standards and Medicaid requirements. Travel Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance-sponsored events, etc. may be required. Travel to meet with members, providers, stakeholders, attend court hearings, etc. is required. Education & Experience Master’s degree in Human Services or related field and at least two years of full‑time, postgraduate degree, MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience. Must be fully or provisionally licensed in North Carolina as a LCSW, LMFT, LCAS, LCMHC, LPA; or graduation from a school of nursing and licensure as a Registered Nurse with at least two years of full‑time MH/SUD and or I/DD experience; must be licensed as a Registered Nurse in North Carolina. Physical health experience preferred. Knowledge, Skills, & Abilities Person‑centered thinking/planning. Knowledge of using assessments to develop plans of care. Knowledge of Diagnostic and Statistical Manual of Mental Disorders. Knowledge of LOC process, SIS for IDD and FASN assessment for TBI. Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans. Knowledge and skill in the use of Motivational Interviewing. Proficient in Microsoft Office products (Word, Excel, Outlook, etc.). Strong interpersonal and written/verbal communication skills essential, including conflict management and resolution skills. High level of diplomacy and discretion required to negotiate and resolve issues with minimal assistance. Ability to make prompt, independent decisions based upon relevant facts. Salary Range $68,227 – $88,695 per year. Fringe Benefits Generous retirement savings plan. Flexible work schedules including hybrid/remote options. Paid time off including vacation, sick leave, holiday, management leave. Dress flexibility. Employment Conditions Employment is contingent upon a satisfactory background and MVR check, performed after acceptance of an offer of employment and prior to the employee’s start date. Additional Resources Want to learn more about what it's like to work as part of the Care Management Team? Watch the video: Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr