Care Manager LP

About the role

The Care Manager Licensed Professional (“Care Manager - LP”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients to ensure that these individuals receive appropriate assessment and services.

This position requires travel and the person in this position is required to maintain residency in North Carolina or within 40 miles of the NC border.

Responsibilities

• Utilize and proficiency with Vaya’s Care Management software platform/ administrative health record (“AHR”)
• Outreach and engagement
• Compliance with HIPAA (Health Insurance Portability and Accountability) requirements, including Authorization for Release of Information (“ROI”) practices
• Perform Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to care
• Adhere to Medication List and Continuity of Care processes
• Participate in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management
• Transitional Care Management
• Diversion from institutional placement

Requirements

• Master’s degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area
• For incumbents with a Master’s Degree in a Human Services Area besides Nursing, two (2) years of experience serving members with BH conditions or two (2) years of prior Long-term Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience
• For incumbents with a Master’s Degree in Nursing, four years of full-time accumulated experience in mental health with the population served is required
• Licensure/Certification Required: Valid licensure required. Acceptable licenses are Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate (LCSWA), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Clinical Mental Health Counselor Associate (LCMHCA), Licensed Clinical Mental Health Counselor Supervisor (LCMHCS), Licensed Psychological Associate (LPA), Health Services Professional Psychological Associate (HSP-PA), Licensed Clinical Addiction Specialist (LCAS), Licensed Clinical Addiction Specialist Associate (LCASA), Licensed Marriage and Family Therapist (LMFT) or Licensed Marriage Family Therapist Associate (LMFTA)

Qualifications

• Exceptional interpersonal skills and ability to represent Vaya in a professional manner
• Strong attention to detail and superior organizational skills
• Well-developed capabilities in problem solving, negotiation, arbitration, and conflict resolution, including a high level of diplomacy and discretion to effectively negotiate and resolve issues with minimal assistance
• Ability to make prompt independent decisions based upon relevant facts
• Ability to use higher-level clinical training and licensure to perform clinical assessments, drive positive outcomes for members, support care management colleagues, and offer clinical assistance to providers

Skills

• Ability to express ideas clearly/concisely and communicate in a highly effective manner
• Ability to drive and sit for extended periods of time (including in rural areas)
• Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change
• Thorough knowledge of standard office practices, procedures, equipment, and techniques and intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Outlook, Teams, etc.), and Vaya systems, to include the care management platform, data analysis, and secondary research

Benefits

N/A

Pay

Depending on qualifications & experience of candidate.

Schedule

This position is exempt and is not eligible for overtime compensation.