RCT Regional Care Manager (Southern)

TRILLIUM HEALTH RESOURCES • Lumberton, NC

6h • 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 an RCT Regional Care Manager to join our team! Trillium’s RCT Regional Care Manager plays a vital role in ensuring members receive
whole person-centered care to meet their individual and complex physical, mental health, and social
needs. The Care Manager serves as the single point of contact for members and works with a multidisciplinary care team, including primary care providers, specialists, care manager extenders, transition staff, and caretakers/legal guardians to promote continuity of care and quality care for each member.

Requirements

• Must meet Qualified Professional (QP) status.
• 1. 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
• 2. 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
• 3. 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
• 4. 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 Long Term Services and Support (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 Home and Community Based Service (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.
• Must have a valid driver’s license.
• Must reside within Trillium’s Southern Region, which includes the following counties: Bladen, Brunswick, Columbus, Hoke, Lee, Moore, New Hanover, Robeson and Scotland.
• Must be able to travel within catchment as required.

Nice To Haves

• License and/or certification may be accepted as noted above.

Responsibilities

• Provide oversight and/or outreach, engagement, and support of members receiving Tailored Care Management.
• Facilitate comprehensive assessments of members’ needs and evaluate results to determine the appropriateness and effectiveness of care.
• Ensure the initiation and continuance of integrated care plans that incorporate a member’s physical health, mental health, social support, lifestyle, community involvement, and risks to well-being, among others.
• Facilitate regular meetings with members, both face-to-face and telephonically.
• Consult with providers to gather and share information relevant to each member’s care including care management comprehensive assessments, and reassessments.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level