Care Management Professional - Extender (3752)
About The Position
Carolina Outreach is seeking a Care Management Extender to join their Tailored Care Management team. This role supports individuals with behavioral health needs by coordinating care, linking them to services, and monitoring their progress. The ideal candidate is highly organized, possesses excellent time management skills, and can effectively manage a high volume of calls while building rapport with clients who have complex needs. This position is crucial in the integrated care approach, aiming to improve member outcomes by facilitating access to medication management, coordinating physical and behavioral health care, educating members, building trust with practitioners, connecting members to community recovery programs, and enhancing communication and continuity of care.
Requirements
- A high school diploma or equivalent.
- Must be 18 years or older.
- Be a person with lived experience with a behavioral health condition and a Certified Peer Support Specialist or
- A parent or guardian of an individual with 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 or
- Have two years of paid experience performing the types of functions described in the “Extender Functions” section, with at least one year of paid experience working directly with the Tailored Care Management eligible population.
- Upon hire, completion of general onboarding training.
- Within 60 days of hire, completion of NC DHHS identified training requirements for Tailored Care Management.
- No driving infractions in the last 5 years.
- Must be authorized to work in the United States.
Nice To Haves
- Excellent time management skills
- Strong social boundaries
- Strong assertive engagement skills
- Ability to effectively connect with hard-to-reach members and build rapport with individuals who have complex needs.
- Experience working in a performance-driven environment with established weekly and monthly productivity standards, quality metrics, and performance expectations.
Responsibilities
- Conduct regular outreach to members by phone and in person to assess needs, provide support, and monitor progress.
- Connect members and families to healthcare services, housing assistance, food resources, and community programs.
- Assist in developing and updating individualized care plans to support members' health and wellness goals.
- Coordinate communication among healthcare providers, members, and families to ensure continuity of care and follow-up on referrals.
- Monitor members (in person and by telephone) for changes in clinical symptoms and treatment side effects or complications.
- Evaluate findings and assist members/families in developing an Individualized Service Plan (ISP) with appropriate goals.
- Support and closely coordinate whole-person health care with the member’s primary care provider and other treating health providers.
- Provide or facilitate resources internally or in the community for members/families, and make referrals and provide follow-up as appropriate (e.g., social services such as housing assistance, vocational rehabilitation, substance use treatment).
- Ensure all treating providers involved in the member’s care are up to date on the latest test results and information.
Benefits
- Consumer-driven health plan coverage provided by Anthem
- Wellness: When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists.
- Health Savings Account (HSA) or Flex Spending Account (FSA)
- Two dental plan options available through Delta Dental
- Affordable vision plan available through EyeMed
- Optional Dependent Care Flexible Spending Account
- Generous paid time off
- 401k or Roth IRA Retirement Programs administered by Empower
- Financial planning and education services at no cost
- Voluntary supplemental benefits (Accident, Critical Illness, Short-Term Disability)
- Educational Assistance (your position, date of hire and years of service determine your eligibility)
- Licensure Residency Program for Full-time Clinical Staff
- Advancement and Career Development Opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
