Tailored Care Management - Extender

Reports To: Supervisory Care Manager

About the role

The Care Management Extender supports the Tailored Care Management team by assisting care managers with engagement, coordination, and resource navigation activities for members. This role helps increase workforce capacity and enhances member support while operating under the direction and supervision of the assigned Care Manager. The Extender does not provide clinical services and works within the defined scope of Tailored Care Management functions.

Responsibilities

• Assist with outreach and engagement activities to help members access services
• Support members in understanding care plans and appointments
• Provide education on community resources and Medicaid services
• Help address barriers to care such as transportation, scheduling, or communication
• Document interactions and activities in the care management system per policy
• Communicate member needs and updates to the Care Manager
• Support follow-up activities related to referrals and service linkage
• Participate in team meetings as requested
• Connect members to community-based services and supports
• Provide guidance based on lived experience or community knowledge when applicable
• Assist with social determinant of health needs (housing, food, employment resources)
• Work under the direction of the Care Manager and within delegated functions
• Maintain confidentiality and comply with HIPAA and organizational policies
• Ensure all activities remain within the approved extender scope

Requirements

• At least 18 years of age
• High school diploma or GED
• Experience in behavioral health, care coordination, or case management strongly preferred
• Working knowledge of Medicaid, social service systems, or community resource navigation is a plus
• Strong communication and organizational skills
• Ability to work well in a team-based, fast-paced environment
• Commitment to equity, inclusion, and trauma-informed care

The Department expects that a range of individuals will be able to meet these qualifications, including, but not limited to:

• Certified Peer Support Specialists
• Community health workers (CHW), defined as individuals who have completed the NC Community Health Worker Standardized Core Competency Training (NC CHW SCCT)
• Individuals who served as Community Navigators prior to the implementation of Tailored Plans
• Family Navigators, as defined by Trillium Health Resources’ approved LME/MCO in lieu of service description

Training Requirements

Staff must maintain all trainings as required by State and Federal law and regulations.

Benefits

• Medical, dental, and vision insurance
• Company-paid life insurance, short-term and long-term disability options
• Optional supplemental plans: Critical Illness, Accident, Cancer Advocate, Hospital Cash
• Paid Time Off
• 10 paid holidays annually, plus bereavement leave
• Access to Relias Training Platform for free CEUs and professional development
• Monthly employee celebrations and a formal employee recognition program