Care Manager

Job Description:

• Assess, plan, implement, coordinate, monitor, and evaluate health care options and services
• Provide effective care management services to enrolled populations
• Complete comprehensive medical, biopsychosocial, behavioral, spiritual, and cultural assessments
• Identify behavioral, social, cultural, and environmental strengths and barriers
• Educate members and families about diagnoses, medications, resources, prevention, and risk factors
• Set patient-centered SMART goals and monitor intervention quality and effectiveness
• Develop, review, implement, and evaluate member care plans with members, families, providers, and care teams
• Apply trauma-informed care, motivational interviewing, strengths-based, and solution-focused techniques
• Facilitate referrals to community-based services and agencies
• Refer matters outside the Care Manager’s scope or expertise to appropriate clinical team members
• Collaborate with multidisciplinary teams and community provider agencies to achieve treatment outcomes
• Coordinate services among members, families, guardians, providers, specialists, and care teams without duplication
• Maintain member documentation in the Care Management platform
• Meet monthly productivity and role expectations
• Follow CCNC policies, privacy and security requirements, and HIPAA regulations
• Attend departmental and corporate meetings, training, and required events
• Travel within assigned regions and/or North Carolina

Requirements:

• Registered Nurse (RN): graduation from an accredited school of nursing
• Registered Nurse (RN): active, unrestricted RN license to practice in North Carolina
• Registered Nurse (RN): minimum 2 years’ nursing experience
• Registered Nurse (RN): CCM certification preferred; certification must be obtained within 1 year of eligibility per CCM requirements
• Registered Nurse (RN): meets licensure or educational eligibility requirements determined by The Commission for Case Management Certification
• Social Worker: Master’s degree from an accredited school of social work
• Social Worker: minimum 2 years’ social work experience
• Social Worker: active NC license as a Licensed Clinical Social Worker (LCSW)
• Social Worker: CCM certification preferred; certification must be obtained within 1 year of eligibility per CCM requirements
• Social Worker: meets licensure or educational eligibility requirements determined by The Commission for Case Management Certification
• Access to Hospital/Data or Electronic Medical Record system as necessary
• Valid driver’s license with current auto liability insurance
• Computer skills, including office software and internet
• Knowledge of government, private-sector, and community resources
• Knowledge of case management principles and applicable federal and state regulations
• Strong organizational and time management skills
• Critical thinking, effective clinical judgment, independent decision-making, and problem-solving abilities
• Ability to work independently and as part of a multidisciplinary team
• Excellent oral and written communication skills; bilingual preferred
• Sensitivity to cultural diversity, language barriers, health literacy, and educational levels

Benefits:

• Remote work within assigned regions
• Travel using personal vehicle required within the region and/or State
• Professional development through local and regional training
• Departmental and corporate meetings and events