Care Manager, QP

Vaya Health

Care Manager coordinating proactive care management and services for Vaya Health members. Mobile role requires travel and collaboration with various health stakeholders in North Carolina.

Posted 6/9/2026full-timeFranklin • North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $54,007 - $70,209 per yearWebsite

About the role

Key responsibilities & impact

The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients to ensure that these individuals receive appropriate assessment and services.
The Care Manager works with the 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 needed by the member.
Care Managers support and may provide transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings to ensure they follow up with aftercare services.
This is a mobile position with work done in a variety of locations, including members’ home communities.
Ensures identification, assessment, and appropriate person-centered care planning for members.
Links members with appropriate and necessary formal/ informal services and supports across all health domains.
Meets with members to conduct the HRA and gather information on their overall health, including behavioral health, developmental, medical, and social needs.
Supports the care team in development of a person-centered care plan to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their choice.

Requirements

What you’ll need

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 prior Long-term Services and Supports (LTSS) and/or Home Community Based Services (HCBS) coordination, care delivery monitoring and care management experience.
If graduate of a college or university with a Bachelor's degree in Human Services, then incumbent must have two years of full-time accumulated experience in mental health with population served.
If graduate of a college or university with a Bachelor's degree is in field other than Human Services, then incumbent must have four years of full-time accumulated experience in mental health with population served.
If a graduate of a college or university with a Bachelor's Degree in Nursing and licensed as RN, then incumbent must have four years of full-time accumulated experience in mental health with population served.
If graduate of a college or university with a Master’s level degree in Human Services, although only one year of experience is needed to reach QP status, the incumbent must still have at least two years of full-time accumulated experience in mental health with the population served.
Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104
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.

Benefits

Comp & perks

This position is non-exempt and is eligible for overtime compensation

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Applicant Tracking System Keywords

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Hard Skills & Tools

care coordinationassessmentmultidisciplinary team care planningtransition planningperson-centered care planningbehavioral healthlong-term services and supports (LTSS)home community based services (HCBS)mental health experienceindividuals with intellectual and developmental disabilities (I/DD)

Soft Skills

proactive interventioncommunicationorganizational skillsteam collaborationproblem-solvingempathetic approachgoal prioritizationrelationship buildingadaptabilityclient advocacy

Certifications

North Carolina Qualified ProfessionalRegistered Nurse (RN) license