Care Manager Extender

Daymark Recovery Services•Salisbury, NC

About The Position

The Care Manager Extender works under direct and indirect supervision to provide care management functions, documentation, referrals and linkage, and monitoring and follow-up. The role supports people in achieving desired outcomes, skills, and symptom reduction by coordinating with consumers, families, friends, providers, and community resources. It also includes health-promotion education, participation in interdisciplinary treatment planning and consultation, and crisis intervention for participants of TCM, involving crisis services when needed. The position coordinates referrals and services identified in the Care Management Plan, facilitates access to providers and community supports, helps recipients transition between levels of care, and promotes communication among recipients and providers. It monitors whether planned services are delivered and effective, tracks changes in recipients’ needs and progress toward goals, and documents monitoring and resulting actions. The role also helps prevent interruptions in Medicaid or NC Health Choice coverage and assists recipients in obtaining entitlement services. The stated pay scale is $16–$17 per hour. The position qualifies for a hiring bonus if benefit eligible.

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 (but not serve as an extender for one’s 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 services, including referrals and linkage to needed services, monitoring and follow-up with clients 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 TCM participants and involve crisis services when needed.
Work with the client, family, friends, and providers who have experience with the person to support the outcomes, skills, or symptom reduction the person desires.
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 information released or disclosed on the Accounting of Release and Disclosure form, including documents given to the consumer or legal guardian.
Coordinate service delivery to reduce fragmentation of care and support mutually agreed-upon 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.
Help recipients establish a medical home, OBGYN care, and prenatal care as needed.
Help consumers or legally responsible persons consider and access natural community supports, such as educational services, transportation, and support from friends, family, or church.
Coordinate paid services with other available community resources to support the best possible treatment and care.
Monitor whether services are provided according to the Care Management Plan, whether services are adequate and effective, whether recipient needs or status have changed, and whether the recipient is progressing toward goals.
Document monitoring and actions taken or planned in the consumer’s record, and ensure the monitoring schedule is sufficient to support the consumer’s health, safety, and welfare.
Monitor progress or lack of progress through observation, interview, and documentation review.
Coordinate with the consumer or legally responsible person, 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 assist consumers or legally responsible persons to prevent coverage from lapsing.
Complete TCM trainings as assigned.
Perform other duties as assigned by the supervisor.