Care Manager / Adult and Child Behavioral health / Wake County

RHA Health Services, LLC • Raleigh, NC

6d • $25 • Hybrid

About The Position

RHA Health Services is hiring a Care Manager to provide whole-person, integrated care management for adults and children with mental health, substance use, and/or intellectual or developmental disabilities. The role delivers services at sites, in homes, and in community settings through face-to-face and other interactions and collaboration with integrated care teams. It promotes improved health outcomes by addressing physical and behavioral health, I/DD, pharmacy, and unmet health-related resource needs, while ensuring high-quality care and compliance with company, state, and federal policies.

This is a hybrid, community-based position requiring travel within and around Wake County. The schedule offers some flexibility. The Care Manager must meet at least one of the listed North Carolina Qualified Professional education-and-experience pathways. Care Managers serving members with LTSS needs must also have two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience; this may overlap with experience required for QP qualification. Care coordination, care management, or case management experience is required. A valid driver’s license and reliable transportation are required; a clinical license is preferred.

Requirements

• Meet at least one Qualified Professional pathway for the populations served: a master’s degree in a human service field and at least one year of full-time experience working with the MH/SU/IDD population; a bachelor’s degree in a human service field and at least two years of such full-time experience; or a bachelor’s degree in a non-human service field and at least four years of such full-time experience.
• Care coordination, care management, or case management experience.
• For care managers serving members with LTSS needs, meet a Qualified Professional pathway and have two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience. This experience may be concurrent with experience required for QP qualification.
• Valid driver’s license.
• Reliable transportation.
• Ability to travel within and around Wake County for this community-based position.

Nice To Haves

• Clinical license.

Responsibilities

• Facilitate care management, conduct comprehensive assessments, and share information with the person supported and other team members to develop tailored care management plans.
• Monitor implementation of care management plans and facilitate updates at least every 12 months, when circumstances or needs significantly change, or at the request of the person supported.
• Follow workflows, policies, procedures, and documentation standards that support whole-person care and accountability for service delivery.
• Maintain a positive and professional image in the work setting and community.
• Continuously improve care management interventions, stay current on best practices, and inform the team about innovations.
• Collaborate with integrated care team members, community organizations, and RHA departments to implement care management successfully.
• Use a person-centered approach focused on each individual’s strengths, needs, and preferences, promoting health, wellness, safety, self-management, disease management, and integrated healthcare planning.
• Use data to support effective, integrated, coordinated care management and ensure individual data is shared and stored according to state and company policies.
• Implement organizational health and safety policies and procedures.
• Document services promptly to support accurate reimbursement.
• Maintain frequent, regular communication with people supported, family members, team members, colleagues, providers, community organizations, and Clinically Integrated Networks; encourage feedback and keep care planning focused on goals and outcomes.
• Support RHA’s ethics and compliance culture, including confidentiality and non-retaliation policies; as assigned, direct prompt confidential investigations of allegations and violations, protect individuals served, meet external reporting requirements, and follow through on investigation recommendations.
• Participate as assigned in quality improvement, quality assurance, quality management, safety, task force, and human rights committee meetings.
• Perform other related duties as assigned.

Benefits

• Payactiv early access to earned wages before payday.
• Employee perks and discount program.
• Paid time off for full-time employees.
• Health insurance for full-time employees.
• 401(k) retirement savings program.
• Physical, emotional, and financial wellbeing programs.
• Chronic disease management programs for hypertension and diabetes for qualifying employees.
• Free CPR, first aid, and job-specific training opportunities.

What This Job Offers

• Job Type: Full-time