TCM Care Manager

HealthKeeperz

Care Manager providing comprehensive assessments and care planning for Behavioral Health beneficiaries. Collaborating with multidisciplinary care teams to ensure high-quality service delivery.

Posted 4/24/2026full-timeRaleigh • North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $53,000 per yearWebsite

About the role

Key responsibilities & impact

Conduct comprehensive assessments at enrollment, yearly, or during changes in condition.
Develop, update, and facilitate Care Plans derived from these assessments.
Utilize person-centered planning, motivational interviewing, and historical review of assessments to identify required supports.
Address Social Determinants of Health (SDOH), disparities, and complex payer issues in the Plan of Care.
Assign interventions/plans of care to Extenders for monitoring and service engagement.
Coordinate with team members for smooth transitions to appropriate levels of care.
Participate in the agency’s twenty-four (24) hour coverage for care management.
Educate members/Legally Responsible Persons (LRP) about care teams, services, rights, the grievance and appeals process, available service options, and payer requirements.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Ensure adherence to service orders/doctor’s orders and obtain necessary releases/documentation.
Submit necessary documentation to the payer for timely service delivery.
Maintain all certifications or licensure required for the position and comply with all agency policies and procedures.
Evaluate the appropriateness of services and ensure the implementation of the plan of care through regular assessments.
Escalate complex cases to the Supervisor and report critical incidents.
Attend Behavior Support Plan (BSP) meetings.
Collaborate with the care team and service providers to develop plans reflecting the individual’s needs and desired life goals.
Complete all other responsibilities as assigned by the supervisor.
Visiting members at their living arrangements, such as their own home, a relative's home, a care facility, or any other location, is essential and required to ensure the delivery of high-quality care.

Requirements

What you’ll need

A Bachelor’s degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area, or licensure as a registered nurse (RN)
Two years of experience working directly with individuals with behavioral health conditions, I/DD or TBI condition(s)
For Care managers serving members with LTSS needs: two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience.
Proficiency in Person-Centered Thinking/planning
Experience using assessments to develop plans of care
Knowledge of LOC processes
Familiarity with Medicaid basic, enhanced MHSUD, and waiver benefits plans
Proficiency in using Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
Proficiency in Microsoft Office products
Ability to make prompt, independent decisions
Good organizational skills to prioritize duties and meet deadlines

Benefits

Comp & perks

HealthKeeperz Barnabas Culture of Encouragement
Opportunities for professional development
Supportive and inclusive work environment

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

person-centered planningmotivational interviewingassessmentscare plansLTSS coordinationHCBS coordinationbehavioral health conditionsI/DDTBILOC processes

Soft Skills

interpersonal communicationwritten communicationverbal communicationconflict managementresolution skillsorganizational skillsdecision makingcustomer satisfactionteam collaborationeducation

Certifications

Bachelor’s degree in health-related fieldlicensure as a registered nurse (RN)