Care Manager Innovations

4 weeks ago


Sylva, North Carolina, United States Vaya Health Full time
Job Title: Care Manager Innovations

Job Summary:

Vaya Health is seeking a highly skilled Care Manager Innovations to join our team. As a Care Manager Innovations, you will be responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients to ensure that they receive appropriate assessment and services.

Key Responsibilities:

  • Utilize and proficiency with Vaya's Care Management software platform/administrative health record (AHR)
  • Outreach and engagement
  • Compliance with HIPAA requirements, including Authorization for Release of Information (ROI) practices
  • Performing Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to care
  • Adherence to Medication List and Continuity of Care processes
  • Participation in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management
  • Transitional Care Management
  • Diversion from institutional placement

Requirements:

  • Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services
  • Two (2) years of experience working directly with individuals with I/DD or TBI
  • Two (2) years of prior Long-term Services and Supports and/or Home Community-Based Services coordination, care delivery monitoring and care management experience

Preferred Qualifications:

  • Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements
  • Ability to complete and maintain all trainings and proficiencies required by Vaya

Physical Requirements:

  • Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading
  • Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers
  • Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time

Residency Requirement:

This position is required to reside in North Carolina or within 40 miles of the North Carolina border.

Salary:

Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.

Apply:

Vaya Health accepts online applications in our Career Center, please visit



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