Care Manager Extender

DAYMARK RECOVERY SERVICES INC•Lexington, NC

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 helps recipients obtain desired outcomes, skills, and symptom reduction by working with recipients, families, friends, providers, and other supports. It also supports health promotion, crisis intervention, interdisciplinary treatment planning, and coordination of care.

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 NC Community Health Worker Standardized Core Competency Training; 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 (not serving as extender for their own 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

Refer and link recipients to needed medical, behavioral, social, and other services and supports, and monitor and follow up with recipients and referrals.
Provide education for health promotion and crisis intervention to participants of Tailored Care Management, involving crisis services when needed.
Participate in interdisciplinary treatment planning and consultation, and ensure involved parties know the plan of care.
Complete care management documentation, including documenting information released or disclosed and monitoring activities and resulting actions.
Work with recipients and their families, friends, providers, and other experienced supports to help recipients achieve 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 before releasing information when required, and document disclosures on the appropriate accounting form.
Coordinate services to reduce fragmentation of care and connect recipients to supports identified in the Person Centered Plan.
Make referrals, schedule appointments, support transitions between levels of care, and facilitate communication and collaboration among recipients and providers.
Assist recipients in establishing a medical home and, as necessary, OBGYN and prenatal care.
Help recipients and legally responsible persons consider and access natural community supports, including education, transportation, and support from friends, family, or church.
Coordinate paid services with other community resources to support the best possible treatment and care.
Monitor whether services follow the Care Management Plan, are adequate and effective, address changes in recipient needs or status, and support progress toward goals.
Ensure monitoring schedules sufficiently support recipients’ health, safety, and welfare; monitor progress through observation, interviews, and documentation review.
Coordinate with recipients, legally responsible persons, provider agencies, and others to address scheduling conflicts, duplicated efforts, and other barriers to effective treatment.
Assist recipients in obtaining entitlement services and monitor continued Medicaid and/or NC Health Choice eligibility, providing assistance to prevent coverage lapses.
Complete other duties as assigned by the supervisor.
Complete assigned TCM trainings.
Support contact requirements assigned to the extender so the team meets required monthly and in-person care management contact minimums based on acuity.