Care Management Professional (4686)

ncgCARE • Fayetteville, NC

8d

About The Position

Carolina Outreach is seeking a Care Management Professional to proactively engage high-risk members, particularly those with behavioral health challenges, and support their whole-person health. The role assesses, evaluates, and coordinates members’ physical, behavioral, and support needs, identifies barriers to effective care, and helps resolve them. Care Managers develop and update Individualized Service Plans (ISPs), support medication management, and provide self-management tools beyond the counseling and guidance members receive from providers.

The Care Manager coordinates communication among members and their providers, including doctors, nurses, and specialists, to bring provider directives together into a seamless care plan. The role requires frequent inbound and outbound calls, assertive engagement with hard-to-reach members, rapport-building with people with complex needs, and work in a performance-driven environment with weekly and monthly productivity standards and quality metrics. The organization describes its approach as supporting clinicians, providing flexibility to shape schedules, maintaining steady caseloads, and offering opportunities for growth.

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.
• Experience managing a large caseload of high-need members.
• Experience with metrics and performance monitoring to demonstrate engagement and service.
• Ability to work in a fast-paced, evolving climate.
• 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 with complex needs.
• Ability to work with weekly and monthly productivity standards, quality metrics, and performance expectations.
• 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 5 years.
• Authorization to work in the United States.

Responsibilities

• Proactively engage high-risk members and support their whole-person health.
• Assess, evaluate, and coordinate members’ physical, behavioral, and support needs, and identify and help resolve barriers to effective care.
• Assess members and develop or update Individualized Service Plans with appropriate goals.
• Manage medications and provide members with self-management tools.
• Monitor members in person and by telephone for changes in clinical symptoms, 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 are up to date on test results and other relevant information.
• Provide or facilitate internal and community resources, make referrals, and follow up as appropriate, including for housing assistance, vocational rehabilitation, and substance use treatment.
• 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.

Benefits

• Consumer-driven health plan coverage through Anthem.
• 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.
• Streamlined onboarding and credentialing support.
• Flexibility to shape schedule and support to maintain a steady caseload.

What This Job Offers

• Job Type: Full-time