Care Management Extender

2 weeks ago

Ahoskie, North Carolina, United States Integrated Family Services, PLLC Full time
No Phone Calls Please

The Care Management Extender, will assist in meeting the needs of the member, create additional workforce capacity, and allow care managers and supervisors to focus on key tasks for assigned members as well as permit them additional time for members with intensive or complex needs.

WORK DUTIES AND TASKS:
  • Performing general outreach, engagement, and follow-up with members;
  • Coordinating services/appointments (e.g., appointment/wellness reminders, arranging transportation);
  • Engaging in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing;
  • Sharing information with the care manager and other members of the care team on the member's circumstances;
  • Providing and tracking referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services;
  • Participating in case conferences;
  • Support the care manager in assessing and addressing unmet health-related resource needs;
  • Regular communication and coordinate efforts with Care Manager and Care Manager Supervisor to decrease duplicative and inappropriate outreach to assigned members;
  • Complete documentation in a timely manner and as required;
  • Participate and complete all required agency trainings and meetings, as well as all required care management-based trainings from the State, Technical Assistance entity or payor and within required timeframes as assigned.
  • Other duties as assigned;
QUALIFICATIONS, EDUCATION AND EXPERIENCE REQUIREMENTS:
  • Is at least 21 years of age;
  • Has a high school diploma or equivalent;
  • Is trained in Tailored Care Management;
  • Is supervised by a care manager and meets one of the below requirements:
    1. Be a person with lived experience with a behavioral health condition and a Certified Peer Support Specialists or
    2. A parent or guardian of an individual with a behavioral health condition and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member) or
    3. Has two years of paid experience performing the types of functions described in the "Extender Functions" section above, with at least one year of paid experience working directly with the Tailored Care Management eligible population.
Individuals who will be able to meet these qualifications, including, but not limited to the following:
  1. Certified Peer Support Specialists;
  2. Community health workers (CHW), defined as individuals who have completed the NC Community Health Worker Standardized Core Competency Training (NC CHW SCCT);
  3. Individuals who served as Community Navigators prior to the implementation of Tailored Plans; and Parents or guardians of an individual with a behavioral health condition (parent/guardian cannot serve as an extender for their own family member);
  4. A person with lived experience with a behavioral health condition
In addition to competitive salaries and opportunities for advancement, full-time employees are offered a wide range of benefits to meet their individual needs, which includes:
  • Medical, Vision, Dental Insurance.
  • Life Insurance (Paid by Company).
  • PTO (Paid Time Off).
  • Paid Holidays.
  • Longevity Pay
  • 401K Retirement Plan.
  • Funeral Leave.
  • FMLA.
  • Supplemental Insurance offering through Aflac with Payroll Deduction.
  • Direct Deposit.
  • Training Opportunities.
  • Continuing Education Leave for Licensed Professionals (opportunity to gain free CEU's).
  • Free Clinical Supervision in Greenville (LCSWA/LCASA/CSAC).

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