Medical Support Operation Manager
The University of Kansas Health System
Innovations Care Manager
Vaya Health
full-time
Posted on:
Location: North Carolina • 🇺🇸 United States
Visit company websiteSalary
💰 $54,007 - $70,209 per year
Job Level
JuniorMid-Level
About the role
- Innovations Care Manager provides proactive intervention and coordination of care to eligible Vaya Health members across MH/SU/IDD/TBI, physical health, pharmacy, LTSS and unmet health-related resource needs.
- Mobile position with work in members’ home communities and various locations; requires in-person contacts and travel within NC
- Works with care team and community stakeholders; uses Care Management platform and maintains HIPAA-compliant records
- Administers Health Risk Assessments (HRA) and other screenings; informs Care Planning and self-management strategies
- Develops and updates person-centered Care Plans with specific services addressing mental health, substance use, medical and social needs
- Participates in multidisciplinary care team meetings; coordinates transitional care and diversion from institutional placement
- Ensures Care Plans meet NCDHHS requirements and monitors progress
- Maintains documentation in the AHR; verifies Medicaid eligibility; submits SARS; ensures compliance with contracts
Requirements
- Bachelor’s degree in health, psychology, sociology, social work, nursing or another relevant human services field
- Two (2) years of experience working directly with individuals with I/DD or TBI
- Two (2) years of experience with LTSS and/or HCBS coordination
- Knowledge of NC Medicaid program, Tailored Plans, and accreditation requirements preferred
- Licensure/Certification: If RN, licensed by NC Board of Nursing; Must meet NC Qualified Professional criteria (10A NCAC 27G.0104)
- Requires travel; must reside in North Carolina or within 40 miles of NC border
- Ability to work in an integrated care team; strong communication and coordination skills
- Ability to conduct Health Risk Assessments (HRA) and comprehensive biopsychosocial assessments
