Care Management Extender (Graham, Swain & Cherokee County, NC)

Vaya Health•Murphy, NC

14d•$42,873 - $55,734•Remote

About The Position

The Care Manager Extender (Extender) will support care managers in delivering Tailored Care Management and fulfilling member contact requirements. Extenders will help Vaya Care Management best meet the needs of members, build efficient care teams by creating additional workforce capacity, and allow care managers and supervisors to focus on key tasks for assigned members. Certain components of Tailored Care Management will always be led by a care manager, but some functions may be performed by an Extender. The Extender will report to a Care Manager and remain within the scope of this job description, performing functions within their training, scope, and abilities. Extenders will participate with the Care Manager and care team in supporting the member, integrate the care team’s goals in a holistic approach, and document interactions and activities within the identified administrative healthcare record. Supervising care managers, care managers, and extenders will be in regular communication and coordinating efforts to mitigate duplicative or inappropriate outreach to assigned members. Remote candidates must live in or near the counties being served.

Requirements

Must complete the full Tailored Care Management training curriculum, including practical (“hands-on”) training modalities and evaluation (e.g., role play, use of call scripts, practice sessions)
Tailored Care Management Training includes: Tailored Plan eligibility and services, Whole-person health and unmet resource needs, Components of Health Home/Tailored Care Management, Ethics, boundaries, and personal safety, Building a trusting relationship, Community integration, Health promotion, I/DD- and TBI-specific trainings (if applicable), Transitional care management, Skills to support health behavior change (including motivational interviewing), Person-centered needs assessment and care planning (including LTSS and other needs), Preparing members for and assisting them during emergencies and natural disasters, Infection control and prevention practices, Understanding virtual/telehealth applications, Needs of justice-involved individuals, Additional trainings for serving children, children with complex needs, pregnant and postpartum persons with SUD or SUD history, and members with LTSS needs
Ability to establish appropriate and respectful relationships/partnerships with persons with a wide range of disabilities and healthcare conditions and their families
Ability to interact professionally and effectively with persons who are upset and who disagree
Ability to express ideas clearly and concisely orally and in writing
Ability to work as a team member and under the direction of the Care Manager and the Care Management department
Good customer service skills
High school diploma or GED
Must be at least 18 years of age
Must be trained in Tailored Care Management
Must meet one of the following requirements: a person with lived experience with an I/DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system; OR a person with lived experience with a behavioral health condition who is a Certified Peer Support Specialist; OR a parent or guardian of an individual with an I/DD or a TBI or a behavioral health condition and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member); OR has two years of paid experience performing the types of functions described in the “Duties/Responsibilities section of this role description in addition to one year of paid experience working directly with the Tailored Care Management eligible population
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading
Physical activity includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time
Mental concentration is required in all aspects of work
Required to reside in North Carolina or within 40 miles of the NC border

Nice To Haves

Certified PSS (Peer Support Specialist) and/or WRAP (Wellness Recovery Action Plan) Facilitators preferred

Responsibilities

Performing general outreach, engagement, and follow-up with members
Coordinating services/appointments (e.g., appointment/wellness reminders, arranging transportation)
Engaging in health promotion activities and knowledge sharing, such as providing education on members’ chronic conditions, teaching self-management skills, sharing self-help recovery resources, providing education on common environmental risk factors (including tobacco smoke and e-cigarette effects), and promoting wellness and prevention programs
Sharing information with the care manager and other members of the care team on the member’s circumstances
Providing and tracking referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services
Participating in case conferences
Supporting the care manager in assessing and addressing unmet health-related resource needs
Other duties as assigned