Care Management Professional

ncgCARE•Fayetteville, NC

9d•$25 - $32•Onsite

About The Position

Carolina Outreach is hiring a Care Management Professional to support high-risk members, particularly people with behavioral health challenges, through personalized, whole-person care. The role assesses and coordinates members’ physical, behavioral, and support needs; identifies barriers to effective care; and helps members develop and update Individualized Service Plans (ISPs). It also includes medication management and providing self-management tools beyond the counseling and guidance members receive during provider visits. The Care Manager facilitates communication among members’ providers—including doctors, nurses, and specialists—to coordinate their care into a seamless plan. The position involves monitoring members in person and by telephone for changes in clinical symptoms, treatment side effects, or complications; helping members and families set appropriate goals; coordinating with primary care and other treating providers; and connecting members with internal or community resources and referrals. The candidate must be comfortable managing a high volume of inbound and outbound member calls, engaging hard-to-reach members, and working within established productivity and quality expectations. The role is based in Fayetteville, North Carolina, with business travel. Carolina Outreach describes its organization as providing behavioral health services and supports throughout North Carolina in a safe, respectful, equitable, and inclusive environment, with a focus on helping clients develop their strengths and quality of life.

Requirements

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.
Comfort working in a fast-paced, evolving climate.
Experience managing a large caseload of high-need members.
Experience with metrics and performance monitoring to demonstrate engagement and service.
Ability to manage 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 weekly and monthly productivity standards, quality metrics, and performance expectations.
No driving infractions in the last 5 years.
Must be authorized to work in the United States.
Employment is contingent upon successful completion of background checks and credential verification.

Responsibilities

Proactively engage high-risk members and support their whole-person health.
Assess and coordinate members’ physical, behavioral, and support needs, and identify barriers to effective care.
Assess and develop or update members’ Individualized Service Plans (ISPs).
Manage medications and provide self-management tools beyond the counseling and guidance typically provided during provider visits.
Facilitate communication among treating providers to coordinate member care.
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 ISP with appropriate goals.
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 have current test results and information.
Maintain accurate and timely clinical documentation.
Collaborate with care teams as needed.
Maintain compliance with clinical and regulatory standards.
Participate in supervision, if applicable based on licensure level.
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 provided by Anthem, with 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.
Affordable 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.
Educational assistance, with eligibility determined by position, date of hire, 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 your schedule and support to maintain a steady caseload.