Care Manager 1 - Non-Clinical -Pender County

About the role

The Care Manager 1 - Non-Clinical position supports Medicaid enrolled members receiving adoption assistance through a statewide care management program. The role involves providing integrated whole-person care management, collaborating with members, caregivers, and community service providers, and maintaining accurate documentation.

Responsibilities

• 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 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.
• Certification as a Care Manager (CCM) is preferred.
• Must reside in NC or within forty (40) miles of the NC Border.

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.
• 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.

Working Conditions

• This is a field position. Care Manager will work remotely from home when not in the field.
• Multiple contacts, face to face and/or telephonic, are required with various members, providers, multi-payer systems and community partners to ensure coordination of services.
• Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time.
• Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices.
• Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds.
• Travel will be required within the assigned area or region with occasional travel in other areas of the State.