Director-TCL Care Management (Full Time, Remote, North Carolina Based)

Alliance Health•Durham, NC

2d•$119,264 - $152,062•Remote

About The Position

The Director of Transition to Community Living and Care Management (TCM-CM) leads the operations, implementation, and performance of care management services for members with complex behavioral and physical health needs, intellectual and developmental disabilities, traumatic brain injury, serious mental illness, severe substance use disorder, and housing-related needs. The Director oversees managers and supervisors responsible for Transition to Community Living (TCL) and Care Management operations, ensuring compliance with state and federal regulations, Tailored Plan requirements, Department of Justice Settlement obligations, accreditation standards, and organizational priorities. The role translates strategic priorities into operational plans, develops leaders, monitors program performance, supports budget stewardship, and advances whole-person care models intended to improve member outcomes, community integration, and housing stability. The Director works closely with senior leadership and internal and external partners to identify risks, address operational barriers, and develop approaches to improve quality and effectiveness. The successful candidate must reside in North Carolina within 40 miles of one of the Alliance catchment-area counties: Mecklenburg, Wake, Durham, Orange, Johnston, Harnett, or Cumberland. The schedule is primarily remote, with attendance at the Alliance Office for business and team meetings as needed.

Requirements

Master’s degree from an accredited college or university in mental health, public health, social work, psychology, education, sociology, business, or public administration, and five years of experience in a community, business, or governmental program in a health-related field, social work, or education, including three years of supervisory, consultative, or administrative experience; alternatively, a bachelor’s degree in nursing and seven years of such experience, including three years of supervisory, consultative, or administrative experience.
Valid, active North Carolina clinical license as an LCSW, LMFT, LCMHC, LPA, or RN.
Certified Care Management credential (NACCM, CCMC, or ACCM) required within two years of hire.
Thorough knowledge of care needs for people with serious mental illness and/or severe substance use disorder with co-occurring acute and chronic conditions.
Thorough knowledge of whole-person care and population-health approaches to care management.
Knowledge of Microsoft Outlook and Teams, and demonstrated knowledge of Excel, Word, and PowerPoint.
Ability to interpret data and communicate findings in an understandable manner, and to identify reporting needs and requirements.
Strong oral and written communication, problem-solving, program-analysis, change-management, conflict-resolution, and interpersonal skills.
Ability to organize independently, manage competing priorities and deadlines, and build and maintain positive relationships with internal and external customers and stakeholders.
Knowledge of quality-improvement processes, the TCL Settlement Agreement, and Tailored Care Management.
Must reside in North Carolina within 40 miles of Mecklenburg, Wake, Durham, Orange, Johnston, Harnett, or Cumberland County.

Nice To Haves

Certified Substance Abuse Counselor (CSAC) or Addictions Specialist Professional.
NADD IDD/MI Dual Diagnosis Certification.
Experience with the Transition to Community Living Initiative.
Experience with Tailored Care Management.

Responsibilities

Work with Human Resources to attract, maintain, and retain a qualified and well-trained workforce.
Ensure staff are trained in and comply with organizational and departmental policies, procedures, and business processes.
Provide clinical and administrative supervision, including case reviews, census-data interpretation, and guidance on provider outreach.
Establish organized workflows and ensure staff understand their roles and responsibilities.
Assess whether the department has the tools and resources needed to meet organizational goals, support employees, achieve positive member outcomes, and comply with licensure, regulatory, and accreditation requirements; recommend and advocate for appropriate resources.
Promote a positive, diverse, inclusive, respectful, and ethical working environment, and resolve conflicts fairly.
Set performance, productivity, and deadline goals aligned with contractual and regulatory requirements, evidence-based practices, operational procedures, and organizational goals.
Provide ongoing feedback, coaching, mentoring, and professional development support to staff; encourage cross-team collaboration.
Develop and execute operational strategies for TCL and Care Management programs and translate strategic initiatives into measurable plans and objectives.
Monitor trends, regulatory changes, and best practices related to care management, housing stability, integrated care, and population health.
Collaborate with Senior Directors on divisional strategic plans and lead operational planning for compliance and process improvement.
Recommend improvements to member outcomes, program effectiveness, staff efficiency, integrated care, and community living.
Oversee and develop managers and supervisors; establish leadership development and succession plans; monitor workforce capacity, staffing ratios, workload distribution, and employee engagement.
Support recruitment, onboarding, retention, talent development, performance management, disciplinary actions, and workforce planning in partnership with Human Resources.
Oversee daily TCM and TCL operations and monitor compliance, performance indicators, productivity, quality outcomes, timeliness, and program deliverables.
Ensure appropriate member assignment, risk stratification, care management activities, and caseload management.
Monitor escalations, critical incidents, grievances, housing barriers, and other high-risk situations; develop corrective action plans and performance-improvement initiatives when expectations are not met.
Maintain standardized workflows, desk references, policies, and procedures; evaluate operational effectiveness and implement improvements.
Monitor expenditures and staffing resources; assist Senior Directors with budget planning, forecasting, variance analysis, and resource allocation.
Review spending and resource needs, support business cases and funding requests, and monitor contracted-service utilization for cost-effective delivery while maintaining quality.
Oversee TCL operations, including post-housing support, service utilization, community integration, and settlement-related activities; ensure required monitoring, documentation, and reporting.
Monitor housing stability, member transitions, separations, and rehousing activities; promote permanent supportive housing principles and person-centered practices; collaborate with housing and community partners to address system barriers.
Use operational and population-health data to evaluate performance and guide decisions; oversee audit readiness, documentation reviews, corrective actions, and performance monitoring.
Ensure regulations, Tailored Plan requirements, accreditation standards, Department of Justice Settlement obligations, policies, procedures, workflows, and training materials remain current and compliant.
Evaluate outcome measures and quality indicators and promote evidence-based, data-driven approaches.
Build collaborative relationships with providers, state agencies, housing organizations, county partners, and community stakeholders; represent Care Management leadership in meetings, workgroups, and committees.
Collaborate with Practice Transformation, Quality Management, Medical Services, Community Health, Housing, Network Operations, and other leaders.
Present operational results and recommendations to senior leadership, facilitate resolution of operational barriers, and promote shared accountability for member outcomes.