Community Care of North Carolina

Care Manager 1 – Non Clinical

Community Care of North Carolina

full-time

Posted on:

Location Type: Hybrid

Location: Cary • North Carolina • United States

Visit company website

Explore more

✨ AI Apply
Apply

About the role

  • Provide integrated whole-person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
  • Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care
  • Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care
  • Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management
  • Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families
  • Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable
  • Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness
  • Utilize Hospital/Data or Electronic Medical Record system as available
  • Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies
  • Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise
  • Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes
  • Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization
  • Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication
  • Respect the member’s values, experience, and help to empower members to be an advocate for their own care
  • Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures
  • Meet monthly productivity and role expectations
  • Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives
  • Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded
  • Perform all other duties as requested
  • Attend departmental and corporate meetings, local and regional trainings, or other events as required
  • Travel using personal vehicle will be required within the assigned area, region and/or the State

Requirements

  • Requires a Bachelor's Degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area or licensure as an RN
  • 2 years of experience working directly with individuals served by the child welfare system is preferred
  • Must reside in NC or within forty (40) miles of the NC Border
  • CCM certification preferred
  • Maintain a valid driver’s license with current auto liability insurance
  • Computer skills required including various office software and the internet; including experience with MS Office software.
  • Excellent communication skills – oral and written; Bilingual preferred
  • Knowledge of government, private sector, and community resources
  • Knowledge of Case Management principles
  • Knowledge of, and compliance with, federal and state regulations applicable to the position
  • Strong organizational and time management skills
  • Skills in establishing rapport with members and caregivers and applying techniques of assessing comprehensive health care needs
  • Critical thinking skills, effective clinical judgment, independent decision-making, and problem-solving abilities
  • Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels
  • Ability to work independently and function as an integral part of a multi-disciplinary team
  • Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives
  • Ability to shift strategy or approach in response to the demands of a situation
  • Ability to navigate Hospital/Data or Electronic Medical Record systems, as necessary
Benefits
  • Competitive Benefits Package effective first day of employment
  • Tuition reimbursement provided to foster CCNC's culture of learning and knowledge, personal and professional growth
Applicant Tracking System Keywords

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

Hard Skills & Tools
case managementtrauma-informed caremotivational interviewingstrengths-based modalitiessolution-focused modalitiesclinical judgmentproblem-solvingcritical thinkinghealth care needs assessmentSMART goals
Soft Skills
communication skillsorganizational skillstime managementrapport buildingsensitivity to diversityindependent decision-makingcollaborationadaptabilitywillingness to learnadvocacy
Certifications
CCM certificationRN licensure