Care Manager Extender

Daymark Recovery Services•Lexington, NC

About The Position

Daymark Recovery Services, Inc. is a mission-driven community provider of culturally sensitive mental health and substance abuse services. Its mission is to inspire and empower people to seek and maintain recovery and health. Under direct and indirect supervision, the Care Manager Extender provides care management functions, documentation, referrals and linkages, and monitoring and follow-up. The role works with consumers, their families and supports, and service providers to connect people with needed services, coordinate care, support progress toward goals, and help ensure the Care Management Plan addresses the recipient’s needs. The position also contributes to interdisciplinary treatment planning and consultation, provides crisis intervention to participants of TCM, and involves crisis services when needed. The extender helps consumers access community supports and entitlement services, supports continuity of Medicaid and/or NC Health Choice eligibility, and documents care management activities and disclosures in the consumer’s record. Contact assignments help the team meet required care management contact frequencies based on each member’s acuity.

Requirements

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 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 that family member); or have lived experience with an I/DD, TBI, or behavioral health condition.
Alternatively, 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 functions, including referrals and linkages, monitoring and follow-up, 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 when needed before releasing information, and document disclosures on the Accounting of Release and Disclosure form.
Connect recipients with medical, behavioral, social, and other services and supports identified in their Care Management Plan or Person Centered Plan.
Coordinate service delivery to reduce fragmentation and maximize mutually agreed-upon outcomes.
Make referrals, schedule appointments, assist recipients through transitions between levels of care, and facilitate communication among providers and recipients.
Assist recipients in establishing a medical home, OBGYN care, and prenatal care when needed.
Help consumers or legally responsible persons consider and access natural community supports, including educational services, transportation, and support from friends, family, or church.
Coordinate funded services with other community resources to support the best possible treatment and care.
Monitor whether services follow the Care Management Plan, whether the plan is adequate and effective, whether the recipient’s needs or status have changed, and whether the recipient is progressing toward goals.
Document monitoring and resulting or planned actions in the consumer’s record, and ensure monitoring schedules support the consumer’s health, safety, and welfare.
Monitor progress or lack of progress through observation, interviews, and documentation review.
Coordinate with consumers or legally responsible persons, provider agencies, and others involved in care to address 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 help prevent coverage from lapsing.
Complete other duties as assigned by the supervisor.
Complete TCM trainings as assigned.