Adult and Child / Behavioral Health Care Manager / Craven County

RHA Health Services • New Bern, NC

6d • Hybrid

About The Position

RHA Health Services is hiring an Adult and Child / Behavioral Health Care Manager to provide whole-person, integrated care management for people with mental health, substance use, and/or developmental disability needs. The work takes place in service sites, homes, and communities through face-to-face and other interactions and in coordination with integrated care teams. The role supports better health outcomes by addressing physical and behavioral health, intellectual and developmental disabilities, pharmacy, and unmet health-related resource needs. This is a hybrid, community-based position serving Craven County and surrounding areas, with required travel and some flexibility in scheduling.

The Care Manager promotes sustained, high-quality care and services and complies with company, state, and federal policies. The position involves assessment and care planning, monitoring service implementation, person-centered coordination, collaboration with providers and community organizations, timely documentation, quality assurance, communication, and support for ethical and compliant practices. The role may also participate in quality, safety, and human rights committees and perform other related duties as assigned.

Requirements

• Meet at least one Qualified Professional qualification for the populations served: a master’s degree in a human service field and at least one year of full-time experience working with the MH/SU/IDD population; a bachelor’s degree in a human service field and at least two years of such experience; or a bachelor’s degree in a non-human service field and at least four years of such experience.
• For care managers serving members with LTSS needs, meet one of the Qualified Professional qualifications and have two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience. This experience may be concurrent with experience required to become a Qualified Professional.
• Have care coordination, care management, or case management experience.
• Hold a valid driver’s license.
• Have reliable transportation.
• Travel within and surrounding Craven County.

Nice To Haves

• Clinical license preferred.

Responsibilities

• Foster and facilitate the care management process.
• Conduct comprehensive care management assessments and facilitate tailored care management planning with the person supported and other team members.
• Monitor implementation of care management plans and facilitate updates at least every 12 months, when circumstances or needs significantly change, or at the request of the person supported.
• Follow workflows, policies, procedures, and documentation standards that promote whole-person care and ensure accountability for service delivery.
• Continuously improve care management interventions and keep current with best practices, sharing innovations with the team.
• Collaborate with integrated care team members, community organizations, RHA departments, providers, and Clinically Integrated Networks to support care management.
• Use a person-centered approach focused on each individual’s strengths, needs, preferences, health, wellness, and safety; support education in self-management, disease management, and integrated healthcare planning.
• Use data to support effective, integrated, coordinated care and ensure individual data is shared and stored according to state and company policies.
• Implement organizational health and safety policies and procedures.
• Document services promptly to support appropriate reimbursement accounting.
• Maintain frequent, regular communication with people supported, family members, team members, and colleagues; encourage feedback and focus on care-planning goals and outcomes.
• Support an ethical culture under the RHA Code of Conduct and Ethics and Compliance Program, including confidentiality and non-retaliation policies.
• Direct confidential and immediate investigations into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and ethics or compliance violations according to company policy; protect individuals served, meet external reporting requirements, and follow through on investigation recommendations.
• Participate as assigned in Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force, and Human Rights Committee meetings.
• Maintain a positive and professional image in the work setting and community.
• Perform other related duties as assigned.

Benefits

• Payactiv early access to earned wages before payday
• Employee perks and discount program
• Paid time off for full-time employees
• Health insurance for full-time employees
• 401(k) retirement savings program
• Physical, emotional, and financial wellbeing programs
• Chronic disease management programs for hypertension and diabetes for qualifying employees
• Free CPR, first aid, and job-specific training opportunities

What This Job Offers

• Job Type: Full-time