Care Manager 1 - Non-Clinical -Granville County

About the role

The Care Manager 1 - Non-Clinical position supports Medicaid enrolled members receiving adoption assistance. It involves providing integrated whole-person Care Management under a new program model, coordinating across multiple health domains, and facilitating referrals to community-based services.

Responsibilities

• Provide integrated whole-person Care Management under the new program 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.
• Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures.
• Facilitate referrals for members/families to appropriate community-based services and agencies.
• Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization.
• Respond to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives.

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.
• Two 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.
• CMM certification preferred.

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.
• Ability to shift strategy or approach in response to the demands of a situation.
• Knowledge of Hospital/Data or Electronic Medical Record systems, as necessary.