I/DD Care Management Extender (Gastonia, NC)

Partners Behavioral Health Management•Gastonia, NC

1d•Onsite

About The Position

The Care Management Extender (CM Extender) is an integral part of Partners team approach to providing Tailored care management. The CM Extender responsibilities focus on assisting the care team to support the member’s health care needs and to facilitate and organize appropriate member education, resources and alignment of care. This role provides direct support to the member through a collaborative role with the Innovations Care Manager or I/DD Care Manager Care Management Extenders complete supportive activities, inclusive of in-person support for member when indicated. Travel is an essential function of this position.

Requirements

Basic knowledge of the Medicaid service system
Working knowledge of the evaluation, care and treatment of people with intellectual & developmental disabilities, mental health and co-occurring disorders.
Knowledge of community resources
Good organizational skills and ability to handle multiple priorities and deadlines
Must be able to prioritize and cope with stress in a positive manner
Ability to communicate effectively both verbally and in writing with member and care team
Proficient in Microsoft Office and web-based applications
Solid verbal and written communication skills
Ability to maintain confidentiality
Ability to work effectively and cooperatively with people from diverse backgrounds Demonstrates flexibility in organizational needs to perform other duties as assigned
Ability to negotiate and resolve conflict
High school diploma or equivalent
Meets one of the following requirements: A person with lived experience with an I/DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system A parent or guardian of an individual with an I/DD or a TBI and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual Has 2 years of paid experience performing the types of functions described and with at least one year of paid experience working directly with the LTSS population
Must reside in North Carolina
Must have ability to travel regularly as needed to perform job duties

Nice To Haves

Experience working with individuals with co-occurring physical health and/or behavioral health needs preferred.

Responsibilities

Assist with scheduling and coordinating appointments (e.g., assistance with scheduling appointments, providing wellness reminders, assistance arranging transportation, confirming participation in scheduled appointments, etc)
Provide outreach to members to provide information about a community resource or support
Engage members in health promotion activities and knowledge sharing
Assist with identifying residential vacancies which may meet needs of member
Submit and track referrals in NCCARE360 database to connect members to community service provider
Assist the care manager in monitoring consistency of service delivery, as triggered by threshold reports or requests from care managers
Review service documentation to monitor progress toward individualized goals and fulfillment of the intent of the service authorized
Provide back-up in-person monitoring support, as needed, for members in the NC Innovations waiver
Ensure members know what benefits they are eligible to receive, with assistance to enroll in benefit plans as needed
Support member in navigating the DSS systems including but not limited to Medicaid reviews and applications, continued eligibility requirements, disability benefits through the Social Security Administration
Communicate with Medicaid and Medicare benefit program Case Managers to resolve issues
Assist with Medicaid C enrollment reconciliation and working with DSS to address IN indicator issues
Notify DSS of benefit issues and develop action plan to resolve
Provide more intense telephonic or in-person support to members identified by care manager as needing support to address unmet health-related resource needs or other community resource needs.
Assist with understanding processes and provide needed support related to guardianship, establishing alternatives to guardianship, restoration of rights
Provide education about appropriate rights and how to request accommodations related to housing, employment, education, etc
Assist with the development of life related emergency plans
Provide in-person support to member with completion of applications for housing, food, transportation vouchers, childcare assistance programs in the communities where the member lives and works, and monitors successful linkage to resources
Assist with housing needs (e.g., Identifying options for renting or purchasing a personal residence, assisting with purchasing furnishings for the personal residence, developing a housing support crisis plan that includes prevention/early intervention services when housing is jeopardized, etc)
Attend huddles and meetings related to care planning and provider engagement, as needed
Notify Care Manager of any new service needs identified during contacts / service monitoring
Share information with the care manager and other members of the care team on the member’s circumstances (e.g. alerting care team members of an unexpected move, need or other event)