Care Manager I-Facility Based (Full Time, Remote, North Carolina Based)

Alliance Health•Durham, NC

4d•$26 - $33•Remote

About The Position

The Care Manager I-Facility Based position is comprised of non-licensed physical and behavioral health experts, who provide an episodic support role to the members’ multidisciplinary care team (MDT). The episodic support roles provided by the Care Manager I-Facility Based may include, but is not limited to, completing warm hand offs, assisting with State required assessments, and coordinating member follow up care. This is a full-time remote opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Alliance Office for business meetings as needed.

Requirements

Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of experience working directly with individuals with Behavioral Health and Physical Health conditions.
Or Bachelor’s degree from an accredited college or university in Non-Human Services field and four (4) years of experience working directly with individuals with Behavioral Health and Physical Health conditions.
Knowledge of resources and systems in the community that can assist with eliminating SDOH barriers to treatment and whole person living.
A high level of diplomacy and discretion is required
Problem solving, negotiation, arbitration and conflict resolution skills
Must be highly skilled at shifting between macro and micro level planning
Detail oriented
Ability to organize multiple tasks and priorities, and to effectively manage projects from start to finish.
Work activities and quickly adapt to mandated changes and priorities within the department.
The ability to change the focus of his/her activities to meet changing priorities.
Proficiency in Microsoft Office products (such as Word, Excel, Outlook, PowerPoint, etc.) is required.

Nice To Haves

NACCM, NADD-Specialist, Health Education Specialist, and/or CBIS preferred

Responsibilities

Assist the Care Manager II-Facility Based with members transitioning from Acute Inpatient care settings to an appropriate lower level of care setting
Obtain necessary releases of information that will improve care management activities on behalf of the member
Provide education and support to members and legal guardians regarding their rights and responsibilities, available service options, providers availability, and payer requirements
Assist in the completion of Assessments (i.e. Care Needs Screening, 90-day Assessment, CMCA); assist with interventions identified via the assessments and/or care plans
Actively collaborate with member/guardians and providers to develop discharge plans that adequately address barriers to discharge and applicable Social Determinants of Care
Engage the member’s community primary care physician (PCP) and other providers as appropriate so that they are actively engaged in the transition planning process prior to member’s discharge
Assist the member before discharge (by phone or in person) in connecting with a qualified community PCP and clinical specialists as needed
Facilitate arrangements for and scheduling of transportation, in-home services, and follow-up outpatient visits within the appropriate timeframe
Conduct post-discharge follow up with member to proactively address Physical and Behavioral Health barriers to member adhering to scheduled follow-up appointments
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency, and Medicaid requirements
Follow administrative procedures and effectively manages caseload
Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required
Travel to meet with members, providers, stakeholders, attend court hearings etc. is required