Care Manager supporting Regions 2 and 4
2 weeks ago
Address the needs of the population served by assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required by using communication and available resources to promote quality, cost-effective health outcomes.
Performing within the Registered Nurse and/or Licensed Clinical Social Work scope of practice, collaborate with the Primary Care Provider, member, guardian, caregivers, family members, other members of the Care Management Team, and the community to coordinate a full continuum of health care services. Holistic needs of the member, inclusive of unique social and cultural dynamics should be considered. The Care Manager may work remotely within regions to cover the needs across the state.
Essential Functions- Provide effective Care Management services based on case management standards of practice to enrolled populations.
- Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care.
- Work with members to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care.
- Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management.
- Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families.
- Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable.
- Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness.
- Utilize Hospital/Data or Electronic Medical Record system as available.
- Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies.
- Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise.
- Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes.
- Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization.
- Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication.
- Respect member’s values, experience, and help to empower members to be an advocate for their own care.
- Maintain appropriate member documentation in the Care Management documentation platform, in accordance with organizational policies and procedures.
- Meet monthly productivity and role expectations.
- Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives.
- Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded.
- Attend departmental and corporate meetings, local and regional training, or other events as required.
- Travel using personal vehicle will be required within the region and/or the State.
- Perform all other duties as requested.
Qualifications
Registered Nurse (RN)
- Graduation from an accredited school of nursing
- BSN preferred
- Active, unrestricted RN license to practice in North Carolina
- Minimum 2 years’ nursing experience; 1-year care management or community-based nursing preferred
- CCM certification preferred; will obtain within 1 year of eligibility per CCM requirements
- Meets licensure or educational eligibility requirements as determined by The Commission for Case Management Certification
- Access to Hospital/Data or Electronic Medical Record system will be required, as necessary
- Maintain a valid driver’s license with current auto liability insurance
Social Worker
- Master’s degree from an accredited school of social work
- Minimum 2 years’ social work experience; 1-year case management or community-based social work preferred
- Active NC license as a Licensed Clinical Social Worker (LCSW)
- CCM certification preferred; will obtain within 1 year of eligibility per CCM requirements
- Meets licensure or educational eligibility requirements as determined by The Commission for Case Management Certification
- Access to Hospital/Data or Electronic Medical Record system will be required, as necessary
- Maintain a valid driver’s license with current auto liability insurance
Knowledge, Skills, and Abilities
- Computer skills required including various office software and the internet; experience with MS Office software preferred
- Excellent communication skills – oral and written; Bilingual preferred
- Knowledge of government, private sector, and community resources
- Knowledge of Case Management principles
- Knowledge of and compliance with federal and state regulations applicable to the position
- Strong organizational and time management skills
- Skills in establishing rapport with a member and applying techniques of assessing comprehensive health care needs
- Critical thinking skills, effective clinical judgment, independent decision-making, and problem-solving abilities
- Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels
- Ability to work independently and function as an integral part of a multi-disciplinary team
- Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives
- Able to shift strategy or approach in response to the demands of a situation
- The job environment is primarily an office or home environment
- Multiple contacts, face to face and/or telephonic, are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occur
- Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time
- Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices
- Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds
- Travel will be required within the region and/or the State
-
Care Management Extenders
4 weeks ago
Greensboro, United States The Sparc Network Full timeJob DescriptionJob DescriptionSalary: 41,000SPARC Services and Programs is seeking multiple Care Management Extenders to join our Care Management Team. SPARC is dedicated to the mission of Keeping People out of Institutionalized Care and we are launching a new Program, Tailored Plan Care Management to help support our mission. SPARC provides behavioral...
-
Care Management Extenders
2 weeks ago
Greensboro, United States The Sparc Network Full timeJob DescriptionJob DescriptionSalary: 41,000SPARC Services and Programs is seeking multiple Care Management Extenders to join our Care Management Team. SPARC is dedicated to the mission of Keeping People out of Institutionalized Care and we are launching a new Program, Tailored Plan Care Management to help support our mission. SPARC provides behavioral...
-
Sales Manager 2
3 weeks ago
Greensboro, United States Marriott International Inc Full timeJob DescriptionJOB SUMMARYThe position is accountable for proactively soliciting and handling sales opportunities. Ensures business is turned over properly and in a timely fashion for proper service delivery. Conducts day-to-day activities related to sales with a focus on building long-term, value-based customer relationships that enable achievement of sales...
-
Sales Manager 2
2 weeks ago
Greensboro, United States Marriott International Inc Full timeJob DescriptionJOB SUMMARYThe position is accountable for proactively soliciting and handling sales opportunities. Ensures business is turned over properly and in a timely fashion for proper service delivery. Conducts day-to-day activities related to sales with a focus on building long-term, value-based customer relationships that enable achievement of sales...
-
Sales Manager 2
3 weeks ago
Greensboro, United States Marriott International Full timeJob DescriptionJOB SUMMARY The position is accountable for proactively soliciting and handling sales opportunities. Ensures business is turned over properly and in a timely fashion for proper service delivery. Conducts day-to-day activities related to sales with a focus on building long-term, value-based customer relationships that enable achievement of...
-
Property Manager
3 weeks ago
Greensboro, United States Drucker and Falk, LLC Full timeJob DescriptionJob DescriptionCompany DescriptionDrucker + Falk is a performance driven real estate services and investment firm with an 85-year history of delivering optimal asset value to our clients. We specialize in third party multifamily and commercial management, brokerage, investment sponsorship, asset development and construction...
-
Property Manager
2 weeks ago
Greensboro, United States Drucker and Falk, LLC Full timeJob DescriptionJob DescriptionCompany DescriptionDrucker + Falk is a performance driven real estate services and investment firm with an 85-year history of delivering optimal asset value to our clients. We specialize in third party multifamily and commercial management, brokerage, investment sponsorship, asset development and construction...
-
RN Care Manager
3 weeks ago
Greensboro, United States Care N Care Insurance Company of North Carolina Full timeJob DescriptionJob DescriptionRole and ResponsibilitiesUnder the direction of the Director of Care Management, the RN Care Manager is responsible for managing high-risk, chronic illness members to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes. The RN Care Manager will...
-
RN Care Manager
9 hours ago
Greensboro, United States Care N Care Insurance Company of North Carolina Full timeRole and Responsibilities Under the direction of the Director of Care Management, the RN Care Manager is responsible for managing high-risk, chronic illness members to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes. The RN Care Manager will formulate and implement a care...
-
Sales Manager 2
3 weeks ago
Greensboro, United States Marriott International Inc Full timeJob DescriptionJOB SUMMARY The position is accountable for proactively soliciting and handling sales opportunities. Ensures business is turned over properly and in a timely fashion for proper service delivery. Conducts day-to-day activities related to sales with a focus on building long-term, value-based customer relationships that enable achievement of...
-
Sales Manager 2
1 day ago
Greensboro, United States Marriott International Inc Full timeJob DescriptionJOB SUMMARY The position is accountable for proactively soliciting and handling sales opportunities. Ensures business is turned over properly and in a timely fashion for proper service delivery. Conducts day-to-day activities related to sales with a focus on building long-term, value-based customer relationships that enable achievement of...
-
RN Care Manager
2 weeks ago
Greensboro, United States Arosa Full timeThe RN Care Manager, as part of a care team, will be responsible for the planning and coordination of all services provided to clients and will serve as the clinical expert to all the staff members assigned to their caseload. The RN Supervisor will: Provide oversight to all in-home caregivers Perform routine in-home supervisory visits per NC State...
-
RN Care Manager
2 months ago
Greensboro, United States Arosa Full timeThe RN Care Manager, as part of a care team, will be responsible for the planning and coordination of all services provided to clients and will serve as the clinical expert to all the staff members assigned to their caseload. The RN Supervisor will:Provide oversight to all in-home caregiversPerform routine in-home supervisory visits per NC State...
-
RN Care Manager
2 weeks ago
Greensboro, United States Arosa Full timeThe RN Care Manager, as part of a care team, will be responsible for the planning and coordination of all services provided to clients and will serve as the clinical expert to all the staff members assigned to their caseload. The RN Supervisor will:Provide oversight to all in-home caregiversPerform routine in-home supervisory visits per NC State...
-
Physician Liaision
2 months ago
Greensboro, United States Surgical Care Affiliates Full timeOverview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...
-
Physician Liaision
2 weeks ago
Greensboro, United States Surgical Care Affiliates Full timeOverview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...
-
Regional Manager
3 weeks ago
Greensboro, United States City Wide Facility Solutions Full timeAre you a B2B sales or account manager with an strong track record of success building and managing sales/account management teams? Do you enjoy a culture that rewards based on performance? If you said yes, City Wide would like to hear from you!City Wide, the nation’s leading management company in the building maintenance industry, is seeking a Director of...
-
Regional Manager
3 weeks ago
Greensboro, United States City Wide Facility Solutions Full timeJob DescriptionJob DescriptionAre you a B2B sales or account manager with an strong track record of success building and managing sales/account management teams? Do you enjoy a culture that rewards based on performance? If you said yes, City Wide would like to hear from you!City Wide, the nation’s leading management company in the building maintenance...
-
Greensboro, United States GeekBox IT Full timeAbout GeekBox IT:GeekBox IT is a dynamic and client-focused company committed to providing tailored IT solutions and co-managed services. We specialize in crafting personalized technology strategies that not only resolve immediate technical issues but also anticipate future needs. Our team in Greensboro, NC is growing, and we are seeking a skilled IT Support...
-
Greensboro, United States GeekBox IT Full timeAbout GeekBox IT:GeekBox IT is a dynamic and client-focused company committed to providing tailored IT solutions and co-managed services. We specialize in crafting personalized technology strategies that not only resolve immediate technical issues but also anticipate future needs. Our team in Greensboro, NC is growing, and we are seeking a skilled IT Support...
