Care Management Professional

ncgCARE•Franklin, NC

12d•$25 - $32•Onsite

About The Position

Appalachian Community Services provides mental health, behavioral health, substance use, and developmental disability services across seven western North Carolina counties. The Care Management Professional proactively engages high-risk members, particularly those with behavioral health challenges, and supports their whole-person health. The role assesses and coordinates members’ physical, behavioral, and support needs, identifies barriers to effective care, and helps address them. Responsibilities include assessing and updating Individualized Service Plans (ISPs), supporting medication management, and providing self-management tools beyond the counseling and guidance members receive during provider visits. The Care Management Professional facilitates communication among the member’s providers, including doctors, nurses, and specialists, to coordinate care into a seamless plan. The position involves a high volume of inbound and outbound member calls, assertive engagement with hard-to-reach members, and rapport-building with people with complex needs. The employee works in a performance-driven environment with established productivity standards, quality metrics, and performance expectations. The role also includes maintaining accurate clinical documentation, collaborating with care teams, complying with clinical and regulatory standards, and participating in supervision when applicable. The position is full-time in Franklin, North Carolina, with business travel. The stated hourly pay range is $25.00–$32.10, with placement based on licensure level, education, and experience. The organization describes supportive clinical and operational leadership, streamlined onboarding and credentialing, flexibility to shape schedules, and opportunities to develop clinical focus areas and advance.

Requirements

A bachelor’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human service area, or licensure as a registered nurse (RN).
At least 5 years of clinical practice in or administration of evidence-based practice (EBP).
At least 2 years of experience working directly with individuals with behavioral health conditions.
Experience managing a large caseload of high-need members.
Experience with metrics and performance monitoring to demonstrate engagement and service.
Comfort working in a fast-paced, evolving climate.
Ability to demonstrate strong assertive engagement skills and connect effectively with hard-to-reach members.
Completion of general onboarding training upon hire.
Completion of NC DHHS-identified Tailored Care Management training requirements within 60 days of hire.
No driving infractions in the last 5 years.

Responsibilities

Proactively engage high-risk members, especially those with behavioral health challenges, and support their whole-person health.
Assess and coordinate members’ physical, behavioral, and support needs and help identify and resolve barriers to effective care.
Assess and develop or update member Individualized Service Plans (ISPs), including appropriate goals.
Manage medications and provide members with self-management tools.
Monitor members in person and by telephone for changes in clinical symptoms and treatment side effects or complications.
Coordinate whole-person health care with members’ primary care providers and other treating health providers.
Facilitate communication among providers and ensure treating providers have current test results and information.
Provide or facilitate internal and community resources, make referrals, and provide follow-up as appropriate, including for housing assistance, vocational rehabilitation, and substance use treatment.
Manage a high volume of inbound and outbound member calls and build rapport with hard-to-reach members with complex needs.
Maintain accurate and timely clinical documentation.
Collaborate with care teams as needed.
Maintain compliance with clinical and regulatory standards.
Participate in supervision when applicable based on licensure level.

Benefits

Consumer-driven health plan coverage through Anthem, including access through the Sydney app to licensed doctors, therapists, and psychiatrists 24/7.
Health Savings Account (HSA) or Flexible Spending Account (FSA).
Two dental plan options through Delta Dental.
Vision plan through EyeMed.
Optional Dependent Care Flexible Spending Account for childcare expenses.
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.
Supportive clinical and operational leadership.
Streamlined onboarding and credentialing support.
Flexibility to shape schedule and opportunities to develop preferred clinical focus areas.