Guilford and Davidson County

RHA Health Services•High Point, NC

About The Position

RHA Health Services is hiring an adult IDD Care Manager serving Guilford or Davidson County. The role provides whole-person, integrated care management in service sites, homes, and communities through in-person and other interactions and in collaboration with integrated care teams. The Care Manager promotes better health outcomes by addressing physical and behavioral health, intellectual and developmental disability (I/DD), pharmacy, and unmet health-related resource needs. The role supports sustained, high-quality services for people with mental health, substance use, and/or developmental disabilities and complies with company, state, and federal policies. The position requires a Qualified Professional (QP) qualification under the listed North Carolina criteria, care coordination, care management, or case management experience, and a valid driver’s license. Care Managers serving members with long-term services and supports (LTSS) needs must also have two years of prior LTSS and/or home- and community-based services (HCBS) coordination, care delivery monitoring, and care management experience. A clinical license is preferred. The Care Manager fosters and facilitates care management, conducts comprehensive assessments, and works with the person supported and other team members on tailored care management plans. The role monitors plan implementation and facilitates updates at least every 12 months, or when circumstances or needs change significantly or the person requests an update. It promotes person-centered, integrated care, effective coordination, quality assurance, safe service delivery, timely documentation, and communication with individuals, families, colleagues, providers, and community organizations. The position also supports ethics and compliance, including confidentiality, investigations, protections for people served, external reporting, and participation in designated quality, safety, and human rights committees. The listed pay range is $20.00–$25.00. RHA describes its mission as helping people with intellectual and developmental disabilities and mental health and/or substance use needs live their best lives by providing a safe and healthy environment and opportunities for personal outcomes.

Requirements

Meet at least one Qualified Professional (QP) education and experience pathway for the populations served: a master's degree in a human service field and at least one year of full-time MH/SU/IDD experience; a bachelor's degree in a human service field and at least two years of full-time MH/SU/IDD experience; or a bachelor's degree in a non-human service field and at least four years of full-time MH/SU/IDD experience.
Have care coordination, care management, or case management experience.
For care managers serving members with LTSS needs, meet a QP pathway and have two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience. This experience may overlap with the experience required for QP qualification.
Have a valid driver's license.
Complete required pre-employment screening, including criminal background screening, checks of the OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities registry, drug testing, education verification, and other credentialing based on position requirements.
Provide proof of employment history or references if required.
For positions requiring driving, provide proof of driver's license, driver's insurance, and vehicle if required to transport individuals.
Demonstrate accountability, objective setting, prioritization and organization, performance management, effective communication, creativity, stress management, responsiveness to people supported and customers, policy compliance, and ability to meet basic work expectations.

Nice To Haves

Clinical license preferred.

Responsibilities

Foster and facilitate the care management process.
Conduct Care Management Comprehensive Assessments and facilitate Tailored Care Management Planning with the person supported and other team members.
Monitor ongoing care management plan implementation and facilitate updates at least every 12 months, when circumstances or needs change significantly, or at the request of the person supported.
Follow workflows, policies, procedures, and documentation standards that promote whole-person care.
Maintain a positive and professional image in the work setting and community, and follow procedures that ensure accountability for service delivery.
Continuously improve care management interventions, stay current on best practices, and inform the team about relevant innovations.
Collaborate with Integrated Care Team members, community organizations, and RHA departments to support care management implementation.
Use a person-centered approach that considers each individual's strengths, needs, and preferences and promotes health, wellness, safety, self-management, disease management, and integrated healthcare planning.
Use data to support effective, integrated, and coordinated care management, and ensure individual data sharing and storage comply with state and company policies.
Implement organizational health and safety policies and procedures.
Document services promptly for reimbursement purposes.
Maintain frequent, regular, and effective communication with people supported, family members, team members, colleagues, providers, community organizations, and Clinically Integrated Networks.
Support the RHA Code of Conduct and Ethics and Compliance Program, including confidentiality and no-retaliation policies.
Direct and ensure confidential, immediate investigations of reported abuse, neglect, exploitation, theft, fraud, waste, misconduct, and ethics or compliance violations according to company policy; protect individuals served, follow external reporting requirements, and follow through on investigation recommendations.
Participate as assigned in Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force, and Human Rights Committee meetings.
Perform other related duties as assigned.

Benefits

Payactiv early access to wages already earned 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.

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