Care Manager
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Job Description
Care Manager coordinating whole-person behavioral-health services for Vaya Health members. Conducting assessments, care planning, transitions, and community-based interventions across Vance County.
Responsibilities:
- Provide proactive intervention and coordination of care to eligible Vaya Health members and recipients
- Conduct comprehensive Health Risk Assessments covering behavioral, developmental, medical, social, and resource needs
- Administer PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other screenings within scope
- Develop, update, and monitor person-centered care plans and crisis plans
- Link members with formal and informal services and supports across health domains
- Coordinate interdisciplinary care team meetings with members, caregivers, providers, RN, pharmacists, and other stakeholders
- Support transitional care management and diversion from institutional placement
- Provide crisis intervention, education, self-management strategies, referrals, and follow-up
- Review provider assessments and consult with clinical staff
- Monitor service provision, member health and safety, critical incidents, eligibility, and care gaps
- Manage and facilitate high-risk team meetings with DSS, DJJ, CCNC, schools, and community stakeholders
- Document care management activities accurately and maintain AHR compliance
- Collaborate with Vaya departments and community partners to identify and address system barriers
- Participate in multidisciplinary huddles, complex case staffing, trainings, projects, and other assigned duties
Requirements:
- Bachelor’s degree required, preferably in health, psychology, sociology, social work, nursing, or another relevant human services area
- Two years of experience working directly with individuals with behavioral health conditions
- Two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience
- North Carolina Qualified Professional status with the population served under 10A NCAC 27G .0104
- If Bachelor’s degree in nursing and RN, must be licensed by the North Carolina Board of Nursing to practice in North Carolina
- Must maintain residency in North Carolina or within 40 miles of the North Carolina border
- Ability to drive and sit for extended periods, including in rural areas
- Intermediate to advanced proficiency in Microsoft Office products and Vaya systems
- Knowledge of the DSM and MH/SU/IDD/TBI service array
- Ability to complete and maintain required Vaya trainings and proficiencies
- Ability to communicate clearly and effectively
- Effective interpersonal, organizational, problem-solving, negotiation, arbitration, and conflict-resolution skills
- Ability to make prompt independent decisions and adapt to changing priorities
- Preferred experience working directly with individuals with I/DD or TBI
- Experience and knowledge of NC Medicaid programs, Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements preferred
Benefits:
- Eligible for overtime compensation
- Mobile work position with work done in a variety of locations
- Equal opportunity employer
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