Care Manager

DAYMARK RECOVERY SERVICES INC•Lillington, NC

27d•$23 - $24•Onsite

About The Position

Under direct and indirect supervision, the Care Manager provides case management assessment, person-centered planning and documentation, referral and linkage, and monitoring and follow-up. The role coordinates care and supports for people with behavioral health needs, promotes health, and helps ensure the recipient’s needs, preferences, goals, health, and safety are addressed through an effective Care Management Plan. The Care Manager assesses and reassesses recipients’ needs, strengths, resources, preferences, and goals across medical, physical, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational or educational areas. The role collaborates with recipients, families, natural and paid supports, providers, and educators; develops and periodically revises person-centered plans; connects recipients with services and community resources; and monitors service delivery, changing needs, and progress toward goals. The position also supports transitions between levels of care, coordination among providers, access to entitlement services and medical homes, and maintenance of Medicaid or NC Health Choice eligibility. The Care Manager provides crisis-intervention consultation to TCM participants and involves crisis services when needed. The role is accountable for behavioral health quality metrics and minimum contact requirements that vary by member acuity, including specified in-person contacts. Other duties may be assigned by the supervisor.

Requirements

Associate or bachelor’s degree in a human service field and two years of MH/SA/DD experience with the population served; or licensed RN and two years of MH/SA/DD experience with the population served.
Alternatively, a master’s degree with licensure; a master’s degree in a human service field and one year of MH/SA/DD experience with the population served; or a bachelor’s degree outside a human service field and four years of MH/SA/DD experience with the population served.

Responsibilities

Conduct care management assessments and reassessments, documenting recipients’ service needs, strengths, resources, preferences, and goals.
Gather and integrate information from clinical and medical assessments, the HIE/Tailored Plan, physicians, families, educators, and other natural and paid supports.
Develop and periodically revise person-centered Care Management Plans in collaboration with recipients and their supports, addressing health and safety risks and desired outcomes.
Contact primary care physicians to obtain clinical information pertinent to person-centered goals.
Facilitate provider choice objectively and assist recipients in obtaining desired outcomes, skills, or symptom reduction.
Obtain and maintain required signed Authorization to Disclose Health Information forms before releasing information when needed, and document disclosures on the Accounting of Release and Disclosure form.
Refer and link recipients to medical, behavioral, social, and other services and supports; schedule appointments and facilitate access to services in the Person Centered Plan.
Coordinate service delivery and communication among recipients and providers, reduce fragmentation and duplication, resolve scheduling conflicts, and support transitions between levels of care.
Assist recipients in establishing and maintaining a medical home and obtaining OBGYN and prenatal care when necessary.
Help recipients and legally responsible persons consider and access natural community supports, such as educational services, transportation, and support from friends, family, or church.
Monitor and follow up to ensure services are delivered according to the Care Management Plan and are adequate and effective; identify changes in needs or status and assess progress toward goals.
Document monitoring and resulting actions in the consumer’s record, and ensure the monitoring schedule supports the consumer’s health, safety, and welfare.
Assist recipients in obtaining entitlement services and monitor continued Medicaid and/or NC Health Choice eligibility, helping prevent coverage lapses.
Participate in interdisciplinary treatment planning and consultation, and ensure involved parties are aware of the plan of care.
Provide crisis-intervention consultation to TCM participants and involve crisis services when needed.
Meet behavioral health quality metrics and required member-contact minimums based on acuity, including specified in-person contacts.
Perform other duties as assigned by the supervisor.