Care Manager Innovations

4 weeks ago


Wilmington, North Carolina, United States Vaya Health Full time
Job Description

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 Vaya's Care Management software platform/administrative health record (AHR) to assess and coordinate care for members.
  • Outreach and engagement with members to identify their needs and develop personalized care plans.
  • Compliance with HIPAA requirements, including Authorization for Release of Information (ROI) practices.
  • Perform Health Risk Assessments (HRA) to identify members' bio-psycho-social needs and develop comprehensive care plans.
  • 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 and Diversion from institutional placement.
Requirements:
  • Bachelor's degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services field.
  • Two years of experience working directly with individuals with intellectual/developmental disabilities (I/DD) or traumatic brain injury (TBI).
  • Experience with NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements.
  • Ability to express ideas clearly and concisely and communicate in a highly effective manner.
  • Ability to drive and sit for extended periods of time (including in rural areas).
What We Offer:
  • Competitive salary and benefits package.
  • Opportunity to work with a dynamic and innovative organization.
  • Professional development and growth opportunities.

Vaya Health is an equal opportunity employer. We are committed to diversity and inclusion in the workplace. If you are passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity.



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