Regional Clinical Manager
PM Pediatric Care
Care Manager
Vaya Health
full-time
Posted on:
Location: North Carolina • 🇺🇸 United States
Visit company websiteSalary
💰 $54,007 - $76,209 per year
Job Level
JuniorMid-Level
About the role
- Provides proactive intervention and coordination of care to Vaya Health members to ensure appropriate assessment and services.
- Works with member and care team to alleviate inappropriate levels of care or care gaps through assessment, multidisciplinary team care planning, linkage and/or coordination of services across MH/SU/IDD/TBI/physical health/pharmacy/LTSS.
- Mobile position with work done in a variety of locations, including members home communities.
- Performs Health Risk Assessments (HRAs) and comprehensive bio-psycho-social assessments.
- Adheres to medication lists and continuity of care processes.
- Participates in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management.
- Transitional Care Management and Diversion from institutional placement.
- Ensures Care Plan includes elements required by NCDHHS and maintains documentation in the AHR.
- Collaborates with care team and providers to ensure quality, safety and outcomes.
- Maintains compliance with HIPAA and authorization for release of information.
Requirements
- Bachelor s degree required, preferably in a field related to health, psychology, sociology, social work, nursing or another relevant human services area.
- Two (2) years of experience working directly with individuals with BH conditions.
- Two (2) years of LTSS and/or Home Community Based Services (HCBS) coordination, care delivery monitoring and care management experience.
- Must meet the criteria of being a North Carolina Qualified Professional with the population served (10A NCAC 27G .0104).
- Licensure/Certification: If incumbent has a Bachelor s degree in nursing and RN, incumbent must be licensed by the North Carolina Board of Nursing to practice in the State of North Carolina.
- Preferred work experience: Experience working directly with individuals with I/DD or TBI.
- Physical requirements: Close visual acuity; ability to drive and sit for extended periods; sedentary work with lifting up to 10 pounds; mental concentration required.
- Residency requirement: The person must reside in North Carolina or within 40 miles of the NC border.
- Location: Remote must live in or near Granville County, NC; travel required.
