Alliance Health

Care Manager I – Non-Waiver

Alliance Health

full-time

Posted on:

Location Type: Hybrid

Location: Charlotte • North Carolina • United States

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Salary

💰 $29 - $38 per hour

About the role

  • Complete comprehensive assessments or Care Needs Screening at enrollment, yearly or at changes in condition.
  • Develop Plans of Care derived from the completed assessments
  • Demonstrate commitment to whole person/integrated care
  • Assign interventions/plans of care to applicable Alliance Care Management team member to meet identified member needs, for monitoring, and/or service engagement activities
  • Submit referrals to the Transition Coordinator when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
  • Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues
  • Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process
  • Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification
  • Utilize person centered planning, motivational interviewing, and historical review of assessments in Jiva to gather information and to identify supports needed for the individual
  • Assist in collecting data to be used to identify and address barriers as well as determine the effectiveness of care management/care coordination in reducing lengths of stay and use of emergency services
  • Actively collaborate with members/legally responsible person, care team, service providers, and identified supports to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
  • Submit required documentation to UM to ensure timely delivery of services and trouble shoot until authorization is obtained.

Requirements

  • Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of post-bachelor’s degree mh/dd/sa experience with the population served
  • Or Bachelor’s degree from an accredited college or university in Non-Human Services field and four (4) years of post-bachelor’s degree mh/dd/sa experience with the population served
  • Or Master’s Degree from an accredited college or university in Human Services field and one (1) year of post graduate degree mh/dd/sa experience with the population served
  • Or Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT
  • Or Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of mh/dd/sa experience with the population served
  • Preferred: NACCM, NADD-Specialist and/or CBIS Certification
  • Knowledge, Skills, & Abilities: Person Centered Thinking/planning
  • Knowledge of using assessments to develop plans of care
  • Knowledge of Diagnostic and Statistical Manual of Mental Disorders
  • Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
  • Knowledge of Medicaid Tailored Plan, Medicaid Direct, enhanced MHSUD, and waiver benefits plans
  • Knowledge of and skilled in the use of Motivational Interviewing
  • Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
  • Strong interpersonal and written/verbal communication skills essential, including Conflict management and resolution skills
  • High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Benefits
  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
assessmentscare needs screeningplans of caremotivational interviewingperson centered planningdata collectiondiagnostic and statistical manual of mental disordersmedicaid tailored planmedicaid directwaiver benefits plans
Soft Skills
interpersonal skillswritten communicationverbal communicationconflict managementnegotiationdiscretionobjectivitycollaborationevaluationcommitment to integrated care
Certifications
LCSWLCMHCLPALMFTLicensed Registered Nurse (RN)NACCMNADD-SpecialistCBIS Certification