Care Manager Jobs

About The Position

Requirements

• Associate degree or higher from an accredited School of Nursing.
• Licensed as a Registered Nurse (RN) in North Carolina.
• At least three years of experience providing care management, case management, or care coordination to a safety-net population.
• Excellent written and oral communication skills.
• Proficiency with electronic medical records and Microsoft Outlook, Word, Excel, PowerPoint, and email.
• Ability to communicate clearly and succinctly.
• Dependability and effective time management; efficiency and organization.
• Ability to produce accurate work and perform multiple tasks proficiently and on time.
• Good supervisory and management skills.
• Operational automobile, current active North Carolina driver's license, and auto insurance.
• Ability to meet the physical demands of the job, including standing, sitting, talking, hearing, using a computer and telephone keyboard, reaching, stooping, kneeling, light to moderate lifting, and tolerating travel-related stress.
• Regular, predictable attendance.

Nice To Haves

• Certified Case Manager (CCM).
• Experience or knowledge related to Medicaid populations, FQHCs, HEDIS, care gap closure, telephonic care management, population health, SDOH assessments, and chronic care management.

Responsibilities

• Provide oversight of Care Management services and activities in accordance with standards of practice for enrolled populations.
• Develop, review, and complete comprehensive, patient-centered assessments that consider medical, biopsychosocial, behavioral, spiritual, and cultural needs throughout the continuum of care.
• Work with patients and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers related to diagnosis, treatment, and access to care.
• Implement Care Management interventions, set goals, and develop plans of care based on transitional care discharge plans or instructions, comprehensive assessments, and patient goals.
• Implement patient-centered plans using therapeutic approaches such as motivational interviewing, strengths-based, and solution-focused modalities.
• Educate patients and families about diagnoses, medications, available resources, prevention, and risk factors to support self-management.
• Monitor intervention quality and effectiveness by setting patient-centered SMART goals with patients and families.
• Delegate tasks and referrals to Care Management Team members appropriately, accurately, and timely according to established workflows.
• Advocate and serve as a liaison among patients and families, community services, primary providers, specialists, and other care team members.
• Collaborate with multidisciplinary team members to facilitate desired health outcomes.
• Maintain timely and appropriate documentation in the Care Management documentation platform in accordance with organizational policies and procedures.
• Build and maintain collaborative relationships with community provider agencies to promote quality care and cost-effective health care utilization.
• Follow privacy, security, department, company, and HIPAA policies and guidelines.
• Attend departmental and corporate meetings, local and regional training, and other required events.
• Visit health centers as needed to coordinate with clinic-based care teams and/or patients and families.
• Support organizational goals and performance improvement targets for initiatives, programs, and standards of care.
• Review care management productivity and clinical performance data to assess priorities and determine appropriate interventions.
• Ensure standardized plans of care, assessment and care plan standards, team development, and organizational and team goals are met.
• Manage and supervise team members to ensure work is completed timely and accurately.
• Perform other duties as assigned.
• Supervise Care Coordinators assigned to the Care Management Team.