Care Management Professional (4718)

ncgCARE•Franklin, NC

11d

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, evaluates, and coordinates members’ physical, behavioral, and support needs, helping identify and address barriers to effective care. The Care Manager assesses and develops or updates Individualized Service Plans (ISPs), manages medications, and provides self-management tools beyond the counseling and guidance typically offered during provider visits. The role facilitates communication among providers—including doctors, nurses, and specialists—to coordinate care into a seamless plan. It involves frequent inbound and outbound calls and assertive engagement with hard-to-reach members who have complex needs, in a performance-driven environment with productivity standards, quality metrics, and performance expectations. The organization describes a supportive clinical and operational leadership structure, opportunities to develop preferred clinical focus areas, streamlined onboarding and credentialing, schedule flexibility, a steady caseload, and opportunities for growth within a stable, mission-driven organization. Compensation is $25–$32.10 per hour, with placement based on licensure level, education, and experience.

Requirements

Bachelor’s degree in health, psychology, sociology, social work, nursing, or another relevant human service field, 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.
Strong assertive engagement skills and ability to connect with hard-to-reach members and build rapport with people with complex needs.
Comfort managing a high volume of inbound and outbound member calls daily.
No driving infractions in the last 5 years.
Authorization to work in the United States.
Successful completion of background checks and credential verification; employment eligibility is subject to E-Verify.

Responsibilities

Proactively engage high-risk members, especially those with behavioral health challenges, and support their whole-person health.
Assess, evaluate, and coordinate members’ physical, behavioral, and support needs, identifying and helping resolve barriers to effective care.
Assess and develop or update members’ Individualized Service Plans (ISPs), including appropriate goals.
Manage medications and provide members with self-management tools.
Facilitate communication among providers and coordinate provider directives into a seamless plan for the member.
Monitor members in person and by telephone for changes in clinical symptoms and treatment side effects or complications.
Support and coordinate whole-person health care with members’ primary care providers and other treating providers.
Provide or facilitate internal and community resources, make referrals, and follow up as appropriate, including for housing assistance, vocational rehabilitation, and substance use treatment.
Ensure treating providers involved in a member’s care are up to date on test results and other information.
Maintain accurate and timely clinical documentation.
Collaborate with care teams as needed.
Comply with clinical and regulatory standards.
Participate in supervision when applicable based on licensure level.
Meet applicable productivity standards, quality metrics, and performance expectations; demonstrate member engagement and service through performance metrics.
Complete general onboarding training upon hire and NC DHHS-identified Tailored Care Management training requirements within 60 days of hire.

Benefits

Consumer-driven health plan coverage through Anthem, including access to the Sydney app and 24/7 access to licensed doctors, therapists, and psychiatrists.
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, subject to 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.
Opportunities to build preferred clinical focus areas.
Streamlined onboarding and credentialing support.
Schedule flexibility and support to maintain a steady caseload.