Care Coordinator (Mobile Position-NC)

Partners Behavioral Health Management•Gastonia, NC

1d•Remote

About The Position

The Care Coordinator actively engages with members/recipients through comprehensive assessment, care planning, health promotion, and comprehensive transitional care. The Care Coordinator provides time-limited community-based Care Coordination for members not eligible for, or have opted out of Tailored Care Management. The employee must be able to work effectively with internal and external stakeholders to fulfill duties and responsibilities. Travel is an essential function of this position.

Requirements

Extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version)
Considerable knowledge of the MH/SU/IDD/BI service array provided through the network of providers
A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure
Ability to initiate and build relationships with people in an open, friendly, and accepting manner
Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change
Must possess skills in critical analysis and conflict management/resolution
Must have ability to collaborate with all stakeholders in the provision of services to ensure positive outcomes
Strong verbal, written and interpersonal communication skills
Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and PowerPoint)
Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish
Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships
Ability to change the focus of his/her activities to meet changing priorities
A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance
Bachelor's degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human service field with two years of full-time, post-bachelor’s degree experience with the behavioral health/IDD population
Bachelor’s degree in a field other than human services and four (4) years of full-time experience with behavioral health/IDD Population
Master’s degree in a human service field and one year of full-time, post-graduate degree experience with the behavioral health/IDD population
Two (2) years of prior Long-Term Services and Supports (LTSS) and/or Home and Community Based Services (HCBS) coordination, care delivery monitoring and care management experience. This experience may be concurrent with the two years of experience working with behavioral health/IDD population described above
Must reside in North Carolina.
Must have ability to travel regularly as needed to perform the job duties
If a Registered Nurse (RN), must be licensed in North Carolina

Nice To Haves

Experience working with members with co-occurring physical health and/or behavioral health needs preferred.
Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred.

Responsibilities

Provide time-limited , in-person, community-based care coordination for members who are receiving care management from other entities (e.g., PCCN, CAP/C, CAP/DA) with referral/linkage to services available through the Tailored Plan, Medicaid Direct contract, and State funds.
Provide transitional care coordination
Share the results of any assessments completed and member’s Care Plan/ISP with entity providing care management
For members in excluded/duplicative services or in transitional situations, with the assistance of the care management entity, encouraging, supporting, and facilitating communication between primary care providers and the Partners network providers regarding medication management, shared roles in care transitions and ongoing care, the exchange of clinically relevant information, annual exams, coordination of services, case consultation, and problem-solving as well as identification of a medical home for persons determined to have need.
Complete assigned site visits to assess health & safety of members supported, often secondary to incident or other identified concerns in the service setting
Document all activities clearly and fully in member electronic record.
Provide limited scope Care Coordination for member enrolled in 1915i services who are ineligible for, or opted out of, Tailored Care Management.
Including completion of Initial/Annual 1915i Assessment Tool; Initial/Annual Care Needs Screening (CNS), Initial/Annual Care Plan/ISP based on birth month, and Care Plan/ISP addendum and updated to CNS as needed.
Submission of Plan and Service Authorization Request
Contact with member and monitoring of services in adherence with 1915i requirements
Ensure that supports are limited to Care Coordination and that members needing more comprehensive support are directed back to assigned care management entity or supported to opt in to TCM.
Document all activities clearly and fully in member electronic record.