Care Management Extender Manager

2 months ago

Asheville, North Carolina, United States Vaya Health Full time

LOCATION: Remote - must live in or near Alamance, Wake, Durham, Granville, Person, Vance, or Franklin County, North Carolina.

GENERAL STATEMENT OF JOB:

The Care Management Extender Manager, hereafter referred to as Extender Manager, will oversee the operation, communication/team dynamics, problem solving, and oversight of the Care Management Extenders who support care managers in delivering Tailored Care Management and fulfilling the member contact requirements. The Extender Manager will support the Extenders to help Vaya Care Management best meet the needs of members, build efficient care teams by creating 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. Certain components of Tailored Care Management will always be led by a care manager. However, some functions may be performed by an Extender as part of Tailored Care Management.

Extender Manager will report to Director of Care Management and remain within, and assist Extenders to remain within, the scope delineated in this job description and only performing functions within their training, scope, and abilities. Extenders will participate with the Care Manager and care team in supporting the member and integrate care team's goal in a holistic approach and document interactions and activities within the identified administrative healthcare record according to departmental standards. Extender Manager will ensure Extenders are in regular communication with Supervising care managers and care managers and coordinating efforts to mitigate duplicative or inappropriate outreach to assigned members.

Essential job functions include, but may not be limited to knowledge of or performance of:

CM Platform basics Outreach & Engagement Release of Information practices Health Risk Assessment Medication List and Continuity of Care process Care Planning Interdisciplinary Care Team and Ongoing Care Management Transition Planning Diversion *Remote candidates must live in/ near the counties being served

ESSENTIAL JOB FUNCTIONS:

Management of Extender Team Functions

Extenders may support care managers in delivering Tailored Care Management by performing activities that fall within the below categories:

Effectively implement organizational priorities, quality initiatives and programs. Represent Vaya Health at designated community stakeholder, provider and NC Department of Health and Human Services related meetings Supervise the Care Management Extender Team ensuring training needs are met and the team is working collaboratively. Supervision and administrative oversight of team members regularly. Provide supervision to Extender team by observing and monitoring paperwork/documentation to ensure that activities are carried out within the assigned area in an effective manner. Provide coaching to employees to ensure continuous improvement of performance in meeting the needs of the members and communities . Respond to community needs/requests as appropriate and participate in various leadership meetings. Ensure the team is meeting expectations as defined by Care Management Department leadership. Manage staff performance, personnel concerns and annual employee performance evaluations. Participate in and maintain Care Management and Vaya trainings and proficiencies Member Outreach, Support & Education

Extender Manager may perform CM Extender functions.

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; such as providing education on members' chronic conditions; teaching self-management skills and sharing self-help recovery resources; Providing education on common environmental risk factors including but not limited to the health effects of exposure to second and third hand tobacco smoke and e-cigarette aerosols and liquids and their effects on family and children; and Promoting wellness and prevention programs. 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. CollaborationParticipate in Care Management Department meetings. Participate in Vaya organizational committees/workgroups/teams. Participate in community collaborative meetings and events. Other DutiesOther duties as assigned. KNOWLEDGE, SKILL & ABILITIES:

Extenders must complete the full Tailored Care Management training curriculum. Additionally, to ensure Extenders are sufficiently prepared and capable to perform their duties, extenders' training must include practical ("hands-on") training modalities and evaluation, which may include role play, use of call scripts, and practice sessions.

Tailored Care Management Training includes:

Tailored Plan eligibility and services Whole-person health and unmet resource needs Components of Health Home/Tailored Care Management Ethics, boundaries, and personal safety Building a trusting relationship Community integration Health promotion I/DD- and TBI-specific trainings (if working with members from these communities) Transitional care management Skills to support health behavior change, including motivational interviewing Person-centered needs assessment and care planning, including LTSS and other needs Preparing members for and assisting them during emergencies and natural disasters Infection control and prevention practices Understanding virtual/telehealth applications Needs of justice-involved individuals Additional trainings for serving:
  1. Children
  2. Children with complex needs
  3. Pregnant and postpartum persons with substance use disorder (SUD) or with SUD history
  4. Members with LTSS need Extenders must also demonstrate the following skills and abilities:
  5. Ability to establish appropriate and respectful relationships/ partnerships with persons with a wide range of disabilities and healthcare conditions and their families.
  6. Ability to interact professionally and effectively with persons who are upset and who disagree.
  7. Ability to express ideas clearly and concisely orally and in writi.

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