Tailored Care Management- Care Manager

Noble Hearts HR Consulting•Wilson, NC

20h

About The Position

We are seeking a compassionate, organized, and qualified Tailored Care Manager to work in Wilson, North Carolina. This person-centered role coordinates whole-person care to help members access healthcare, behavioral health support, community resources, and other essential services. The Care Manager works collaboratively with members, families, caregivers, healthcare providers, and community organizations to promote wellness, independence, community integration, and quality of life. The role requires strong communication, care coordination, advocacy, and crisis response skills, and delivery of individualized care in accordance with North Carolina Department of Health and Human Services requirements. The Care Manager provides care coordination and member support, connects members and caregivers with appropriate services and community resources, educates members and families on self-advocacy and navigating service systems, and promotes wellness and preventive care. They help members understand their rights and relevant care-planning options, and support employment, education, socialization, independent living, and community integration. The Care Manager collaborates with families and youth, identifies natural supports, and helps develop individualized care plans and crisis plans. For high-risk pregnant members, the role includes assessing broader family needs and, when applicable, discussing an Infant Plan of Safe Care. The position includes first-responder crisis support on a 24/7/365 basis as required, including the capacity to respond face-to-face to qualifying crises within two hours. The Care Manager maintains accurate documentation, works under the supervision of the Supervising Care Manager, participates in supervision, training, and professional development, and ensures services comply with applicable regulations. Member-contact frequency varies by acuity: high acuity requires at least four contacts monthly, including one in person; moderate acuity requires three monthly contacts and one in person per quarter; and low acuity requires two monthly contacts and two in-person contacts annually. The position is full-time and pays $21.00–$28.00 per hour.

Requirements

Bachelor's degree in health, psychology, sociology, social work, nursing, or another relevant human services field, or an RN license.
At least two years of experience working directly with the population served: individuals with behavioral health conditions when serving members with behavioral health needs, or individuals with I/DD or TBI when serving members with those needs.
Maintain Nonviolent Crisis Intervention (NCI) certification, Community First Aid/CPR certification, and any additional certifications required for the position.
Strong communication, organizational, problem-solving, documentation, and care coordination skills.
Ability to collaborate with members, families, healthcare professionals, and community service providers while maintaining professional standards and regulatory compliance.
Maintain training required by applicable state and federal laws and regulations, including training on BH I/DD Tailored Plan eligibility and services, whole-person health and identification of unmet resource needs, community integration, Health Home Care Management components, and health promotion.

Responsibilities

Provide professional care management services within NC DHHS Tailored Plan requirements.
Coordinate and monitor services across healthcare, behavioral health, and community-based support systems.
Connect members and caregivers with services such as peer support, respite care, self-help programs, and other community resources.
Ensure referrals requested by members are completed promptly and responsibly.
Educate members and families about self-advocacy, available services, and navigating healthcare and social service systems.
Explain members' rights, protections, and responsibilities, including provider changes, grievance and complaint procedures, and fair hearing processes.
Promote wellness, preventive care, and whole-person health.
Assist members in understanding advance directives, psychiatric advance directives when appropriate, and guardianship options or alternatives.
Connect members and families with resources supporting employment, educational success, socialization, independent living, and community integration.
Help members develop adaptive skills and improve their ability to access and navigate services.
Collaborate with families and youth to strengthen family support, self-determination, and self-sufficiency.
Identify natural supports, social networks, and community resources and promote family-driven and youth-guided service delivery.
Support service delivery in the member's community and the least restrictive appropriate setting.
For high-risk pregnant members, assess broader family needs, provide appropriate family planning guidance, and initiate discussions about an Infant Plan of Safe Care when applicable.
Develop and implement individualized care plans and proactive and reactive crisis plans with members, families, and the care team.
Provide first-responder crisis support on a 24/7/365 basis as required and maintain the capacity for face-to-face response to qualifying crises within two hours.
Maintain access to members' crisis plans and coordinate responses to emerging needs.
Collaborate with the care team to identify risks, establish response procedures, and promote member safety and stability.
Maintain accurate documentation of care management activities, member needs, referrals, and services.
Work under the supervision of the Supervising Care Manager according to individualized supervision plans.
Participate in required supervision, training, and professional development.
Deliver services promptly and responsibly, in compliance with applicable state and federal regulations.
Maintain minimum member-contact frequencies according to assessed acuity level.
Complete other duties as assigned.