Case Manager
RHA Health Services, LLC
full-time
Posted on:
Location Type: Remote
Location: Remote • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- Conduct initial pre-screening and assessments of beneficiaries and their families to evaluate medical, psychological, behavioral, financial, social, cultural, environmental, legal, vocational, educational, and other areas.
- Consult with the CAP beneficiary and primary caregiver to educate about waiver services, Medicaid, and community resources to meet the beneficiaries' needs.
- Identify needs to prevent health and safety factors to assist in maintaining community placement.
- Develop and maintain individualized, person-centered care plans (emergency and disaster planning) to ensure the health, safety, and well-being of beneficiaries.
- Update care plans at least every 12 months or when the status of the beneficiary changes.
- Ensure beneficiaries and families understand the plan of care to make informed decisions.
- Coordinate services such as personal care, waiver supplies, home modifications, and educational support in alignment with the care plan.
- Collaborate with the team to monitor service quality and ensure compliance with Medicaid and program standards.
- Arrange for additional services as needed to prevent institutionalization and support participants in their homes.
- Monitor services through monthly phone calls and home visits, document observations and beneficiary progress.
- Provide emotional support and counseling to beneficiaries and their families to strengthen their support systems.
- Maintain accurate and up-to-date records for all participants in accordance with Medicaid and program requirements.
Requirements
- Strong understanding of Medicaid programs and compliance requirements.
- Excellent communication and interpersonal skills to work effectively with families and multidisciplinary teams.
- Ability to manage multiple priorities and maintain detailed records.
- Experience working with medically fragile children or in pediatric healthcare settings and physically disabled adults with complex care needs.
- Current North Carolina Registered Nurse (RN) license with a two-year or four-year degree.
- One year of case management experience in home care, long-term care, personal care, or related work.
- Completion of an NC Medicaid-certified training program within 90 calendar days of employment.
Benefits
- Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
- Employee perks and discount program: to help you save money!
- Paid Time Off (full-time employees only)
- Health/Insurance (full-time employees only)
- 401(k) retirement savings program
- Wellbeing Programs: Physical, Emotional and Financial
- Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
- Training: Free CPR, first aid, and job-specific training opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementindividualized care plansemergency planningdocumentationassessmentmonitoring servicesemotional supportcounseling
Soft skills
communicationinterpersonal skillsorganizational skillsmultitasking
Certifications
North Carolina Registered Nurse (RN) licenseNC Medicaid-certified training