Care Management Professional (3687)

ncgCARE•Raleigh, NC

4d•$25 - $32•Hybrid

About The Position

Since 2003, Carolina Outreach has been assisting children, families, and adults across North Carolina with their behavioral health needs. We are a group of highly trained behavioral health professionals dedicated to promoting the emotional and physical well-being of our community in a safe and respectful environment. We provide a comprehensive and integrative array of behavioral health services and supports for people of all ages with varying levels of need utilizing an equitable and inclusive approach. We focus on helping our clients tap into and develop their inherent strengths with the goal of supporting the highest quality of life possible for all we serve.

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)
Minimum experience 5 years of clinical practice in or administration of EBP.
Two years of experience working directly with individuals with behavioral health conditions.
Comfortable in a fast paced evolving climate
Experience managing large caseload of high need members
Experience with metric and performance monitor for demonstration of engagement and service.
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

Placement within the range is based on licensure level, education, and experience.

Responsibilities

Maintain accurate and timely clinical documentation
Collaborate with care teams as needed
Maintain compliance with all clinical and regulatory standards
Participate in supervision (if applicable based on licensure level)
Proactively engage with high-risk members, particularly those with behavioral health challenges, and support the members’ whole-person health.
Assess, evaluate, and coordinate member's physical, behavioral, and support needs, to identify and help resolve any barriers that hinder effective care.
Coordinate and support the members’ whole-person health.
Develop/update member Individualized Service Plans (ISPs).
Manage medications.
Provide self-management tools beyond the counseling and guidance typically provided during visits with their providers.
Facilitate communication between different providers in the advocacy of members, often being in contact with multiple doctors, nurses, and specialists to best coordinate the directives of each provider into a seamless plan for the member.
Manage a high volume of outbound and inbound member calls on a daily basis.
Demonstrate strong assertive engagement skills, with the ability to effectively connect with hard-to-reach members and build rapport with individuals who have complex needs.
Display experience working in a performance-driven environment with established weekly and monthly productivity standards, quality metrics, and performance expectations.
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, so you can choose the level of coverage that fits your needs and budget.
Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp.
An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for childcare.
Generous paid time off
401k or Roth IRA Retirement Programs administered by Empower
Financial planning and education services at no cost to you
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