Care Management Professional - Extender

ncgCARE • Jacksonville, NC

4d • $17 - $22

About The Position

The Care Management Extender is an integral member of the Tailored Care Management team, supporting integrated behavioral and physical health care for members with complex needs. The role helps members improve health outcomes through care coordination, education, medication-management connections, community recovery supports, and communication among members and practitioners. The ideal candidate is organized, manages time effectively, maintains strong social boundaries, and is comfortable handling a high volume of inbound and outbound calls in a fast-paced, performance-driven environment with productivity and quality expectations. The position includes outreach by phone and in person, monitoring members for clinical changes or treatment complications, helping members and families develop individualized service plans, coordinating care with primary care and other treating providers, and connecting members with community and social-service resources.

Requirements

• High school diploma or equivalent.
• Must be at least 18 years old.
• Meet one of the following experience pathways: have lived experience with a behavioral health condition and be a Certified Peer Support Specialist; be a parent or guardian of an individual with a behavioral health condition and have at least two years of direct experience providing care for and navigating the Medicaid delivery system on that individual’s behalf; or have two years of paid experience performing the types of functions described for Extender Functions, including at least one year working directly with the Tailored Care Management eligible population.
• Complete general onboarding training upon hire.
• Complete NC DHHS-identified Tailored Care Management training requirements within 60 days of hire.
• No driving infractions in the last five years.
• Strong organization and time-management skills.
• Ability to manage a high volume of inbound and outbound member calls.
• Strong assertive engagement skills and ability to build rapport with hard-to-reach members with complex needs.
• Comfort working in a performance-driven environment with established 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.
• Monitor members for changes in clinical symptoms and treatment side effects or complications.
• Evaluate findings and assist members and families in developing an Individualized Service Plan with appropriate goals.
• Connect members and families to healthcare services, housing assistance, food resources, community programs, and other relevant services.
• Coordinate whole-person health care with members’ primary care providers and other treating health providers.
• Assist in developing and updating individualized care plans to support members’ health and wellness goals.
• Coordinate communication among healthcare providers, members, and families to support continuity of care and follow up on referrals.
• Provide or facilitate internal and community resources and make referrals, including for social services, vocational rehabilitation, and substance use treatment.
• Ensure treating providers involved in a member’s care are up to date on test results and other relevant information.
• Support members through education, trust-building with practitioners, medication-management connections, and connections to community recovery programs.

Benefits

• Consumer-driven health plan coverage provided by Anthem, including access to the Sydney app and 24/7 access to licensed doctors, therapists, and psychiatrists.
• Health Savings Account or Flexible Spending Account.
• Two dental plan options through Delta Dental.
• Affordable vision plan through EyeMed.
• Optional Dependent Care Flexible Spending Account for pre-tax childcare reimbursement.
• Generous paid time off.
• 401(k) or Roth IRA retirement programs administered by Empower.
• Financial planning and education services at no cost.
• Voluntary supplemental benefits, including Accident, Critical Illness, and Short-Term Disability coverage.
• Educational assistance, with eligibility determined by position, hire date, and years of service.
• Licensure Residency Program for full-time clinical staff.
• Advancement and career development opportunities.
• Schedule flexibility and support to maintain a steady caseload.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED