Care Manager I-Non-Waiver Position

4 days ago


Morrisville, North Carolina, United States Alliance Full time
Care Manager I-Non-Waiver Job Description

The Care Manager I-Non-Waiver is responsible for ensuring that individuals and families with special health care needs receive integrated whole-person care management. This includes coordinating across physical health, behavioral health, pharmacy, and unmet health-related resource needs to maximize potential outcomes and decrease unnecessary hospital and emergency services use.

Key Responsibilities:
  • Complete comprehensive assessments or Care Needs Screening at enrollment, yearly, or at changes in condition.
  • Develop Plans of Care derived from the completed assessments.
  • Assign interventions/plans of care to applicable Alliance Care Management team members to meet identified member needs.
  • Submit referrals to the Transition Coordinator when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity.
  • Provide education and support to individuals and legally responsible persons in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Requirements:
  • Bachelor's degree from an accredited college or university in Human Services field and two (2) years of post-bachelor's degree mh/dd/sa experience with the population served.
  • Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT.
  • Or Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of mh/dd/sa experience with the population served.
Preferred Qualifications:
  • NACCM, NADD-Specialist, and/or CBIS Certification.
  • Experience with the IDD population.

The Care Manager I-Non-Waiver will work closely with the Care Management Team to ensure smooth transitions to appropriate levels of care when needed. The ideal candidate will have strong interpersonal and written/verbal communication skills, including conflict management and resolution skills, and a high level of diplomacy and discretion to effectively negotiate and resolve issues with minimal assistance.

The salary range for this position is $28.12 to $36.55/Hourly. An excellent fringe benefit package accompanies the salary, which includes medical, dental, vision, life, long and short term disability, generous retirement savings plan, flexible work schedules including hybrid/remote options, paid time off including vacation, sick leave, holiday, management leave, and dress flexibility.



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