Care Manager Extender

DAYMARK RECOVERY SERVICES INC•Salisbury, NC

3d•$16 - $17•Onsite

About The Position

Under direct and indirect supervision, the Care Manager Extender provides care management functions, documentation, referral and linkage, and monitoring and follow-up. The role supports people in pursuing desired outcomes, skills, and symptom reduction, and helps coordinate services and community resources to address needs identified in the Care Management Plan. The position includes working with consumers, families, legally responsible persons, providers, and other members of the care team; supporting transitions between levels of care; and providing education related to health promotion and crisis intervention when needed.

Requirements

Minimum of a high school diploma or equivalent.
Meet at least one of the following criteria: be a Certified Peer Support Specialist; be a community health worker who has completed the NC Community Health Worker Standardized Core Competency Training (NC CHW SCCT); have served as a Community Navigator before implementation of Tailored Plans; be a parent or guardian of an individual with an I/DD, TBI, or behavioral health condition (cannot serve as an extender for their own family member); have lived experience with an I/DD, TBI, or behavioral health condition; or have two years of paid care management-type experience, including at least one year of paid experience at any time with the population served.
Complete TCM trainings as assigned.

Responsibilities

Provide care management extender duties, including referrals and linkages to needed services, monitoring and follow-up with consumers and referrals, and education for health promotion.
Participate in interdisciplinary treatment planning and consultation, and ensure involved parties are aware of the plan of care.
Provide crisis intervention to participants of TCM and involve crisis services when needed.
Work with the consumer, family, friends, and providers who have experience with the person to support desired outcomes, skills, and symptom reduction.
Facilitate provider choice objectively and provide fact-finding assistance.
Obtain and maintain signed Authorization to Disclose Health Information forms in the consumer’s medical record before releasing information when needed for Substance Use Disorders.
Document all information released or disclosed on the Accounting of Release and Disclosure form, including documents given to a consumer or legal guardian.
Coordinate delivery of services to reduce fragmentation of care and support mutually agreed outcomes.
Connect recipients to services and supports identified in the Person Centered Plan, make referrals, and schedule appointments.
Assist recipients as they transition through levels of care and facilitate communication and collaboration among service providers and recipients.
Assist recipients in establishing a medical home when needed, and establishing OBGYN and prenatal care as necessary.
Help consumers or legally responsible persons consider and access natural community supports, including educational services, transportation, and support from friends, family, or church.
Coordinate paid supports and services with other available community resources.
Monitor whether services are delivered according to the Care Management Plan, whether they are adequate and effective, whether recipient needs or status have changed, and whether recipients are progressing toward their goals.
Document monitoring and resulting or planned actions in the consumer’s record, and ensure monitoring schedules adequately support consumer health, safety, and welfare.
Monitor progress or lack of progress through observation, interview, and documentation review.
Work with consumers or legally responsible persons, provider agencies, and others involved in care to avoid or resolve scheduling conflicts, duplication of effort, and other barriers to effective treatment.
Assist consumers in obtaining entitlement services when possible.
Monitor continued Medicaid and/or NC Health Choice eligibility, as applicable, and provide assistance to prevent coverage from lapsing.
Complete TCM trainings as assigned.
Perform other duties as assigned by the supervisor.
Meet assigned care management contact requirements for members with behavioral health needs: high acuity members require at least four care manager-to-member contacts monthly, including at least one in-person contact; moderate acuity members require at least three monthly contacts and at least one in-person contact quarterly; low acuity members require at least two monthly contacts and at least two in-person contacts yearly, approximately six months apart.