Care Manager - Non Clinical - Cleveland

Overview

We re hiring Care Manager 1 - Non Clinical across all 100 NC Counties - Must reside in NC or within 40 miles of NC border.

Must reside in the following NC counties : Cleveland County

This is a field-based position with working remotely, when not providing integrated services to members directly. Occasional in-person training and travel will be required.

About CCNC:

From the mountains to the coast, from large cities to small towns, Community Care of North Carolina is transforming health care. Informed by statewide data and predictive analytics, community-based care-managers work with local physicians and diverse teams of health professionals to develop whole-person plans of care that connect people to the right local resources and increase equity and access to high quality care.

CCNC Mission Statement:

To improve the health and quality of life for all North Carolinians by building supporting better community-based healthcare delivery systems.

Our new program, the Care Manager 1 - Non Clinical, will provide statewide care management to support Medicaid enrolled members receiving adoption assistance. Care Managers address the needs of the population served by assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required so they receive seamless, integrated, and coordinated health care to promote quality, cost-effective health outcomes.

Collaboration with the Primary Care Provider, member, guardian, caregivers, family members, other members of the Care Management Team, and the community is necessary to coordinate a full continuum of health care services. Holistic needs of the member, inclusive of unique social and cultural dynamics should be considered. The Care Manager must reside in NC or within 40 miles of the NC Border.

• Provide integrated whole-person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
• Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care
• Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care
• Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management
• Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families
• Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable
• Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness
• Utilize Hospital/Data or Electronic Medical Record system as available
• Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies
• Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise
• Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes
• Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization
• Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication
• Respect the member’s values, experience, and help to empower members to be an advocate for their own care
• Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures
• Meet monthly…