My Choice/CRISP In-Reach Care Manager

TRILLIUM HEALTH RESOURCES•Singapore, NC

1d•Remote

About The Position

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives. Trillium Health Resources has a career opening for a My Choice/CRISP In Reach Care Manager to join our team! The My Choice/CRISP In Reach Care Manager is responsible for providing in-reach to members residing in Community or private Intermediate care facilities, Level II/Program Type, Level III/IV Group Homes, or PRTF settings. The My Choice/CRISP In Reach Care Manager educates members and guardians about how to effectively navigate the physical, behavioral, and social service systems for themselves and about the existence of informal/community resources available to them; and facilitates the member/guardian access to these resources. The My Choice/CRISP In Reach Care Manager provides care planning with foundations in national, evidence-based, and informed standards to deliver whole-person care.

Requirements

Must meet QP status:
Fully licensed by the NC governing board regulating Human Services professions; OR
Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing, who also has four (4) years of full-time experience with the MH/DD/SA population served; OR
A graduate of a college or university with a Master’s degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling; OR
A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; OR
A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
Additionally, if serving members with LTSS needs, the care manager must meet the minimum QP requirements defined above (A-D) and shall additionally have at a minimum two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience. This experience may be concurrent with the years of experience required to become a Qualified Professional.
The following immunizations are required for this position:
Fully vaccinated against Covid-19, Influenza (annually within Influenza season Nov 1 – March 31), MMR, Varicella and Tdap (Tetanus, diphtheria pertussis).
MMR and Varicella - must show proof of vaccination or have blood drawn to show immunity.
Tdap - must show proof of one dose.
Employees must provide proof of all immunizations prior to their start date or agree to be and provide proof of all immunizations within 4 months of start date.
Must have a valid driver’s license.
Must reside within Trillium’s Mid State Region, which includes the following counties: Anson, Guilford, Montgomery, Randolph, and Richmond.
Must be able to travel within catchment as required.

Nice To Haves

Preference will be given to individuals with experience transitioning members with IDD into community living arrangements.

Responsibilities

Provide age- and developmentally appropriate education for the member and the member’s family members and/or guardians about the opportunity to receive care in a more integrated setting and available services in such settings.
Provide complex care management, in compliance with NCQA and any other identified regulatory/required accreditation standards, to assigned members who may have identified needs with behavioral health, physical health, co-occurring, co-morbid, or multi-morbid conditions.
Engage members who are admitted to or residing in state developmental centers, and members admitted to or residing in ICF-IIDs Not Operated by the State, or members in a Level II/Program Type, Level III/IV, or PRTF to provide education about permanent supportive housing, supports, services, and other community resources.
Collaborate with the Integrated Care Team, IDD TCM, and other internal departments as needed to identify complex care needs and clinical service linkage needs.
Facilitates community integration, linkage to services to include residential and/or housing referrals, referrals to needed evaluations and identifying outpatient and social determinants of health needs. Provides education and support for those members who choose not to transition back to home or to permanent supportive housing in the community and identifies and works with the Care Team to overcome barriers to the member’s transition.

Benefits

Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
Work-from-home options available for most positions
Health Insurance with no premium for employee coverage
Flexible Spending Accounts
24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
NC Local Government Retirement Pension (defined-benefit plan)
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies

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