About The Position

The Care Management Professional – Extender is part of the Tailored Care Management team, supporting integrated behavioral and physical health care for members with complex needs. The role helps members access health care, housing, food support, and other essential resources. It involves frequent inbound and outbound calls, in-person outreach, assertive engagement, and building rapport with hard-to-reach members in a fast-paced, performance-driven environment with productivity and quality expectations. The professional monitors members’ clinical symptoms and treatment effects, assists members and families with individualized service and care planning, and coordinates whole-person care with primary care and other treating providers. The role also connects members with community recovery programs and social services, makes referrals, follows up, and helps ensure providers have current information to support continuity of care. The position requires strong organization, time management, and social boundaries. The stated compensation range is $17.36–$22.29 per hour. Placement depends on licensure level, education, and experience. The role offers flexibility to shape one’s schedule, support for maintaining a steady caseload, and opportunities for growth in a mission-driven organization.

Requirements

  • High school diploma or equivalent.
  • Must be 18 years or older.
  • Meet at least one of the following: 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 in the Extender Functions section, 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 and strong social boundaries.
  • Comfort managing a high volume of inbound and outbound member calls daily.
  • Strong assertive engagement skills and ability to connect with hard-to-reach members and build rapport with people who have complex needs.
  • Experience 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.
  • 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 support 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 and families in developing an Individualized Service Plan (ISP) with appropriate goals.
  • Support and closely coordinate whole-person health care with members’ primary care providers and other treating health providers.
  • 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.
  • Ensure treating providers involved in a member’s care are up to date on test results and other information.
  • Link members to medication management, coordinate physical and behavioral health needs, educate members, build trust between members and practitioners, and connect members to community recovery programs.

Benefits

  • Consumer-driven health plan coverage provided by Anthem, with access to the Sydney app and 24/7 licensed doctors, therapists, and psychiatrists when enrolled in a medical plan.
  • 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 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.
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