Care Manager

Community Care of North Carolina Inc; North Carolina; Teletrabalho; USD 65 000 - 90 000; Tempo integral

Resumo da oferta

Community Care of North Carolina Inc is seeking a Care Manager to coordinate comprehensive care for enrolled populations. The role involves assessing medical, biopsychosocial, behavioral, and cultural needs, and working with care teams to develop and implement care plans statewide.

The position requires nursing or social work credentials, licensure eligibility, and experience in care management. Travel and remote regional coverage are part of the role.

Qualificações

• Graduation from an accredited school of nursing or social work.
• Active licensure or eligibility per state requirements.
• Experience in care management preferred; knowledge of case management standards.

Responsabilidades

• Assess members across medical, biopsychosocial, behavioral, and cultural needs.
• Coordinate a full continuum of care with care team and providers.
• Develop and monitor SMART goals and care plans with families.
• Facilitate referrals to community-based services and agencies.
• Maintain documentation in the care management system.

Conhecimentos

Care management

Communication

Trauma-informed care

Cultural competency

Bilingual

Formação académica

Bachelor's nursing

Master's social work

Ferramentas

Hospital EMR

MS Office

Descrição da oferta de emprego

About CCNC From the mountains to the coast, from large cities to small towns, Community Care of North Carolina is transforming health care. Informed by statewide data and predictive analytics, community-based care-managers work with local physicians and diverse teams of health professionals to develop whole-person plans of care that connect people to the right local resources and increase equity and access to high-quality care.

To improve the health and quality of life for all North Carolinians by building supporting better community-based healthcare delivery systems.

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. The Care Manager may work remotely within regions to cover the needs across the state.

Care Manager(s) will serve the population within regions 2, 4, and 6. Remote and travel will be required within the region and/or the State. 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.

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.

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.

Graduation from an accredited school of nursing

1-year care management or community-based nursing preferred

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

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

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

Computer skills required including various office software and the internet; experience with MS Office software preferred

Bilingual preferred

Knowledge of government, private sector, and community resources

Knowledge of Case Management principles

Strong organizational and time management skills

Skills in establishing rapport with a member and applying techniques of assessing comprehensive health care needs

Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels

Able to shift strategy or approach in response to the demands of a situation

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; Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices

Travel will be required within the region and/or the State