Care Manager 1: Non-Clinical - Forsyth County

Community Care of North Carolina•Winston-Salem, NC

7d•Hybrid

About The Position

Community Care of North Carolina (CCNC) is transforming healthcare across North Carolina by empowering community-based care managers to work with local physicians and health professionals. They develop whole-person care plans that connect individuals to local resources, aiming to increase equity and access to high-quality care. The Care Manager 1 - Non-Clinical role focuses on providing statewide care management to support Medicaid-enrolled members receiving adoption assistance. This involves assessing, planning, implementing, coordinating, monitoring, and evaluating services to ensure seamless, integrated, and coordinated healthcare for optimal outcomes. Collaboration with primary care providers, members, guardians, caregivers, family members, the Care Management Team, and the community is essential. The role also emphasizes considering the holistic needs of the member, including social and cultural dynamics.

Requirements

Requires a Bachelor's Degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area or licensure as an RN.
2 years of experience working directly with individuals served by the child welfare system is preferred.
Must reside in NC or within forty (40) miles of the NC Border.
CCM certification preferred.
Maintain a valid driver’s license with current auto liability insurance.
Computer skills required including various office software and the internet; including experience with MS Office software.
Excellent communication skills – oral and written; Bilingual preferred.
Knowledge of government, private sector, and community resources.
Knowledge of Case Management principles.
Knowledge of, and compliance with, federal and state regulations applicable to the position.
Strong organizational and time management skills.
Skills in establishing rapport with members and caregivers and applying techniques of assessing comprehensive health care needs.
Critical thinking skills, effective clinical judgment, independent decision-making, and problem-solving abilities.
Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels.
Ability to work independently and function as an integral part of a multi-disciplinary team.
Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives.
Ability to shift strategy or approach in response to the demands of a situation.
Ability to navigate Hospital/Data or Electronic Medical Record systems, as necessary.

Nice To Haves

2 years of experience working directly with individuals served by the child welfare system.
CCM certification.
Bilingual preferred.

Responsibilities

Provide integrated whole-person Care Management, coordinating across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
Complete member assessments considering medical, biopsychosocial, behavioral, spiritual, and cultural needs.
Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers.
Provide education to members/families about clinical diagnosis, medications, resources, prevention, and risk factors.
Monitor quality and effectiveness of interventions by setting patient-centered SMART goals.
Develop, review, implement, and evaluate member care plans in partnership with members, families, providers, and the Care Management team.
Utilize therapeutic skills such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities.
Utilize Hospital/Data or Electronic Medical Record systems.
Facilitate referrals for members/families to appropriate community-based services and agencies.
Refer to appropriate clinical team members for interventions outside the Care Manager's scope.
Collaborate with multi-disciplinary team members to facilitate desired treatment outcomes.
Engage and maintain collaborative relationships with community provider agencies.
Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members.
Respect member values and empower members to advocate for their own care.
Maintain appropriate documentation in the Care Management documentation platform.
Meet monthly productivity and role expectations.
Uphold and abide by CCNC company and department policies, goals, standards, and objectives.
Adhere to CCNC privacy, security policies, and HIPAA regulations.
Perform all other duties as requested.
Attend departmental and corporate meetings, local and regional trainings, or other events as required.
Travel using personal vehicle will be required within the assigned area, region and/or the State.