Care Management Professional

Appalachian Community Services; Waynesville (NC); On-site; USD 34,000 - 44,000; Full time

Benefits offered by this job

Health plan through Anthem

Health Savings / Flexible Spending

Delta Dental

Vision plan through EyeMed

401(k) or IRA

Job summary

Appalachian Community Services is seeking a Care Manager to engage high-risk members and coordinate whole-person health, including ISP development and cross-provider communication.

The role requires a bachelor’s degree or RN licensure, 5+ years in clinical practice or administration of evidence-based practices, and 2+ years serving individuals with behavioral health needs. A fast-paced environment with a heavy caseload is expected.

Qualifications

• Bachelor’s degree or RN licensure in a relevant health field.
• Minimum 5 years of clinical practice in EBP or related administration.
• At least 2 years direct work with individuals with behavioral health conditions.
• Experience managing large caseloads in fast-paced environments.
• Ability to monitor metrics and performance for engagement and service.

Responsibilities

• Assess, develop, and update Individualized Service Plans (ISP).
• Coordinate whole-person health care with primary care and specialists.
• Proactively engage with high-risk members via calls and outreach.
• Coordinate resources and referrals (housing, vocational rehab, substance use treatment).
• Maintain accurate and timely clinical documentation.
• Ensure providers have current test results and information.

Skills

Engagement with high-risk members

Care coordination

Communication skills

Time management

Education

Bachelor’s degree in health/behavioral science

RN licensure

Tools

Clinical documentation systems

Job description

About UsAppalachian Community Services provides Mental Health, Behavioral Health, Substance Use, and Developmental Disability services to individuals, families, and communities within the seven western counties of North Carolina. We provide a wide range of walk-in, psychiatric, substance abuse, and crisis services to adults and children.About the RoleIf you thrive on delivering personalized care and interacting with members as a whole person, then this is the role for you!As a Care Manager, you will be responsible for proactively engaging with high-risk members, particularly those with behavioral health challenges, and supporting the members’ whole-person health. As a core part of the Care Management team, you will assess, evaluate, and coordinate member's physical, behavioral, and support needs, to identify and help resolve any barriers that hinder effective care.The Care Manager is responsible for proactively engaging with high-risk members, and coordinating and supporting the members’ whole-person health. This includes, but is not limited to, the assessment and development/updating of member Individualized Service Plans, managing medications, and providing the self-management tools beyond the counseling and guidance typically provided during visits with their providers. As a core component of the Care Management team, the Care Manager facilitates communication between different providers in the advocacy of members, often being in contact with multiple doctors, nurses, and specialists to best coordinate the directives of each provider into a seamless plan for the member. The candidate must be comfortable managing a high volume of outbound and inbound member calls on a daily basis . Must demonstrate strong assertive engagement skills, with the ability to effectively connect with hard-to-reach members and build rapport with individuals who have complex needs. Display experience working in a performance-driven environment with established weekly and monthly productivity standards, quality metrics, and performance expectations.Monitor members (in person and by telephone) for changes in clinical symptoms and treatment side effects or complications;Evaluate findings and assist members/families in developing an Individualized Service Plan (ISP) with appropriate goals;Support and closely coordinate whole-person health care with the member’s primary care provider and other treating health providers.Provide or facilitate resources internally or in the community for members/families, and make referrals and provide follow-up as appropriate (e.g., social services such as housing assistance, vocational rehabilitation, substance use treatment);Ensure all treating providers involved in the member’s care are up to date on the latest test results and information.This description outlines the general scope and level of work for this role. It is not intended to include every duty or responsibility that may be required of employees in this position.CompensationCompetitive hourly pay aligned with your role, experience, and contribution, with opportunities for growth over time.Compensation: $25 - $32.10Placement within the range is based on licensure level, education, and experience.What You Can ExpectSupportive clinical and operational leadershipOpportunities to build your preferred clinical focus areasStreamlined onboarding and credentialing supportResponsibilitiesMaintain accurate and timely clinical documentationCollaborate with care teams as neededMaintain compliance with all clinical and regulatory standardsParticipate in supervision (if applicable based on licensure level)Qualifications:A bachelor’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human service area, or licensure as a registered nurse (RN)Minimum experience 5 years of clinical practice in or administration of EBP.Two years of experience working directly with individuals with behavioral health conditions.Comfortable in a fast paced evolving climateExperience managing large caseload of high need membersExperience with metric and performance monitor for demonstration of engagement and service.Upon hire, completion of general onboarding training;Within 60 days of hire, completion of NC DHHS identified training requirements for Tailored Care ManagementNo driving infractions in the last 5 yearsWhy Join UsWe are focused on creating a model where clinicians are supported, not overloaded. You’ll have the flexibility to shape your schedule, the support to maintain a steady caseload, and the opportunity to grow within a stable, mission-driven organization.Beyond the engaging work, you'll also benefit from our competitive benefits package to support you and your loved ones, provide work/life balance, and invest in your future. The list below is for informational purposes only.Consumer-driven health plan coverage provided by AnthemWellness: When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists.Health Savings Account (HSA) or Flex Spending Account (FSA)Two dental plan options available through Delta Dental, so you can choose the level of coverage that fits your needs and budget.Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp.An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for childcare.Generous paid time off401k or Roth IRA Retirement Programs administered by EmpowerFinancial planning and education services at no cost to youVoluntary supplemental benefits (Accident, Critical Illness, Short-Term Disability)Educational Assistance (your position, date of hire and years of service determine your eligibility)Licensure Residency Program for Full-time Clinical StaffAdvancement and Career Development OpportunitiesLegal Notice:We are an equal opportunity employer. Employment is at-will and contingent upon successful completion of background checks and credential verification. We participate in E-Verify to confirm employment eligibility in the United States. Reasonable accommodations are available upon request in accordance with the Americans with Disabilities Act (ADA). Must be authorized to work in the United States. Compensation varies based on licensure, experience, and caseload. ncgCARE and all partner affiliates maintain a drug-free workplace.