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Tailored Care Management

3 months ago


Raleigh, North Carolina, United States Tammy Lynn Center (TLC) Full time
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Summary The Care Extender supports members by providing information about and assistance with accessing services and community resources through life experiences to improve the individual's health outcomes. In addition, the Care Extender supports the Care Managers in outreach and engagement, health promotion, resource referral, service coordination, and addressing unmet health-related needs.

Minimum Education: A high school diploma or equivalent.

Rate: $35K -$40K annually depending on experience

$500 Joining Bonus paid on the first payroll

Hours/Days of Work
  • 8:00 a.m. to 5:00 p.m., Monday through Friday (hourly)
  • Weekly schedules must be flexible to meet the needs of the members served and the agency.
  • Full-time Regular position. Some evening work.
  • This position will require the ability to work various schedules when necessary, including outside

Special Qualifications:
  • Lived experience with I/DD or TBI with a demonstrated knowledge of and direct personal experience navigating the NC Medicaid service delivery system; or
  • Lived experience with a behavioral health condition and as a Certified Peer Support Specialist.
  • A parent or guardian of an individual with I/DD, TBI, and/or behavioral health condition and have at least two years of direct experience providing care for and navigating the Medicaid service delivery system on behalf of that individual; or
  • At least two years of paid experience performing the Care Extender functions, with at least one year of paid experience working directly with the Tailored Care Management eligible population.

Responsibilities:
  • Collaborate with Care Manager to conduct initial and ongoing general outreach and engagement activities with members. Support Care Managers in member service needs and address unmet health-related resource needs.
  • Links members to social services and community resources for housing, food, employment, and other areas.
  • Track linkage referrals for community-based resources and social support services to close the loop and monitor needs being met.
  • Assist members by facilitating the scheduling of appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members.
  • Participate in care team case conferences, team huddles, meetings, and planning activities.
  • Assists in identifying members' needs from ongoing member contact and support activity.
  • Assist in developing a library of materials and resources to help educate members on issues and options such as health promotion, self-advocacy, navigating service systems, guardianship options/alternatives, employment, success in school, and family planning.
  • Support member engagement in health promotion activities.
  • Participate in educating members about mental or physical health, abuse, violence prevention, medication, and available community and social resources.
  • Encourage members to develop work skills and participate in social, recreational, or other therapeutic activities that enhance interpersonal skills and develop social relationships.
  • Support the Care Manager in follow-up and obtaining reports, records, and other information from the extended care team, medical providers, long-term support providers, and others.
  • Maintain accurate documentation of contacts and activity within the care management system.
  • Basic knowledge of NC Medicaid and Innovation Waiver services.
  • Travel: 50% (variable to change). Reliable transportation is required.
  • Complete all other relevant responsibilities as assigned by the supervisor.

BenefitsExcellent health, and retirement benefits package includes medical, dental, vision, life, STD/LTD, paid holidays, PTO, Supplemental Group Insurance, EAP, and 403b retirement plan.

TLC is an equal opportunity employer and welcomes applications from anyone qualified.