IDD Care Manager Extender Forsyth/Guilford County

RHA Health Services • High Point, NC

2d • Onsite

About The Position

Provides whole person, integrated care management in service sites, homes and communities through face to face and other interactions and through the work of integrated care teams. Promotes whole person care directed at better health outcomes and addressing all needs spanning physical and behavioral health, I/DD, pharmacy, and unmet health related resources. Ensures sustained high quality of care and services to persons with mental health, substance use and/or developmental disabilities. Complies with company, state and federal policy.

Requirements

• High School Diploma or equivalent
• Must be at least 18 years of age
• Must meet at least one of the following requirements: o Be 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. OR o Be a person with lived experience with a behavioral health condition and a Certified Peer Support Specialists. OR o Be a parent or guardian of an individual with an I/DD or a TBI or a behavioral health condition and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member). OR Have two (2) years of paid experience performing the following types of functions, with at least one year of paid experience working directly with the Tailored Care Management eligible population: Performing general outreach, engagement, and follow-up with members Coordinating services/appointments (e.g., appointment/wellness reminders, arranging transportation) Engaging in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing Sharing information with the care manager and other members of the care team on the member’s circumstances Providing and tracking referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services Participating in case conferences Support the care manager in assessing and addressing unmet health-related resource needs
• Valid Driver's License

Responsibilities

• Performs general outreach, engagement, and follow-up with members
• Coordinates services/appointments (e.g., appointment/wellness reminders, arranging transportation)
• Engages in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing
• Shares information with the care manager and other members of the care team on the member’s circumstances
• Provides and tracks referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services
• Participates in case conferences
• Supports the care manager in assessing and addressing unmet health-related resource needs
• Implements workflows, policies and procedures, and documentation standards that promote whole person care.
• Maintains a positive and professional image in the work setting and community.
• Follows policies and procedures to ensure accountability of service delivery.
• Demonstrates a passion for positive change by continuously improving and defining innovative care management interventions.
• Stays up to date with current best practices and keeps the team continuously informed about best practice innovations.
• Collaborates cross-functionally with other Integrated Care Team members, community organizations and RHA departments to ensure success of Care Management implementation.
• Maintains a person-centered philosophy focusing on an individual’s strengths, needs, and preferences that promote health, wellness, and safety.
• Fosters a person-centered culture with Care Management Teams to optimize individual education around self-management, disease management, and integrated healthcare planning.
• Implements the strategic use of data to support delivery of effective, integrated, and well-coordinated care management services.
• Ensures individual data sharing and storage consistent with state and company policies.
• Implements all organization health and safety policies and procedures.
• Responsible for documenting services provided in a timely manner in order to be appropriately accounted for reimbursement purposes
• Establishes and maintains frequent and regular communication with persons supported, family members, other team members and colleagues.
• Fosters open communication and feedback.
• Helps maintain focus on care planning goals and outcomes.
• Establishes and maintains strong external relationships, to include providers, community organizations, and Clinically Integrated Networks (CIN).
• Supports and participates in an ethical culture in conjunction with the RHA Code of Conduct and Ethics and Compliance Program, emphasizing confidentiality and no retaliation policies.
• Directs the confidential and immediate investigation into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and violations of ethics and compliance practices according to company policy.
• Ensures protections of individuals served during investigations.
• Ensures all external reporting requirements are followed.
• Ensures adequate follow- through on recommendations from investigation reports.
• Participates as assigned as designated members to Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force and Human Rights Committee meetings.

Benefits

• Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
• Employee perks and discount program : to help you save money!
• Paid Time Off (full-time employees only)
• Health/Insurance (full-time employees only)
• 401(k) retirement savings program
• Wellbeing Programs: Physical, Emotional and Financial
• Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
• Training: Free CPR, first aid, and job-specific training opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED