Care Manager

Daymark Recovery Services; Raeford (NC); On-site; USD 31,795 - 33,117; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

401(k)

Paid Holidays

Paid Vacation and Sick Leave

Referral Bonus Opportunities

Extensive Internal Training Program

Job summary

Daymark Recovery Services is looking for a dedicated individual for a case management role in Raeford, NC. The successful candidate will provide comprehensive assessments, develop care plans, and coordinate health services for clients. This position requires strong communication and organizational skills, as well as experience in mental health or related fields.

Candidates should possess a bachelor’s degree in a human services field or be a licensed RN. Benefits include competitive pay, health insurance, and extensive training programs.

Qualifications

• Experience in mental health, substance abuse, or developmental disabilities.
• Understanding of healthcare documentation and client-centered planning.
• Ability to coordinate with multiple service providers.

Responsibilities

• Provide case management assessment and develop care plans.
• Monitor services provided to clients and their outcomes.
• Facilitate access to medical and community services.

Skills

Case management

Crisis intervention

Communication

Assessment and planning

Education

Bachelor's degree in human services

Licensed RN

Job description

Job Location

Hoke Center - Raeford, NC 28376

Pay Scale

$23.08 - $24.04 per hour

Benefits

• Medical, Dental and Vision Insurance
• Health Spending Account
• Company-Paid Life Insurance
• Short Term Disability
• 401(k)
• Paid Holidays
• Paid Vacation and Sick Leave
• Employee Assistant Program
• Referral Bonus Opportunities
• Extensive Internal Training Program

Summary

Under direct and indirect supervision, provides case management assessment, person‑centered planning and documentation, referral and linkage, and monitoring/follow‑up.

Essential Duties and Responsibilities

• Provide care management assessment/reassessment, develop care plans, refer and link to needed services, monitor/follow up with clients and referrals, provide health promotion education, and ensure metrics for outcomes are met.
• Participate in interdisciplinary treatment planning, and consultation activities, ensuring all involved parties are aware of the plan of care.
• Provide crisis intervention consultation to all participants of TCM and involve crisis services when needed.
• Perform all other duties as assigned by supervisor.

Care Management Assessment

• Document the client’s service needs, strengths, resources, preferences, and goals to develop a Care Management Plan.
• Gather information regarding all aspects of the recipient, including medical, physical, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational/educational areas.
• Integrate all current assessments, including the comprehensive clinical assessment and medical assessments, and information from the HIE/Tailored Plan and the primary care or specialty care physician.
• Identify early conditions and needs for prevention and amelioration.
• Consult with other natural and paid supports such as family members, medical and behavioral health providers, and educators.
• Perform periodic reassessment to determine whether a recipient’s needs or preferences have changed.

Care Management Plan / Documentation

• Ensure person‑centered information is gathered and that the consumer’s health and safety risks are assessed prior to developing the care plan.
• Work in conjunction with the client, family, friends, and providers who have experience with the person.
• Perform periodic revision of the plan based on information collected.
• Assist the person to obtain the desired outcomes/skills/symptom reduction.
• Contact the primary care physician to obtain clinical information necessary for goals.
• Facilitate provider choice process, maintain objectivity, and provide fact‑finding assistance.
• Ensure signed Authorization to Disclose Health Information forms are obtained and on file before releasing information.
• Document released information on the Accounting of Release and Disclosure form.

Referral / Linkage

• Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed outcomes.
• Facilitate access to and connect recipients to services and supports identified in the Plan.
• Make referrals to providers, schedule appointments, and assist the recipient during transitions through levels of care.
• Facilitate communication and collaboration among all service providers and the recipient.
• Assist recipient in establishing and maintaining a medical home and in establishing OBGYN and prenatal care when needed.

Natural Support / Services Not Funded Through the Tailored Plan

• Assist consumer and legally responsible person in accessing natural community supports such as educational services, transportation, support from friends/family/church, etc.
• Coordinate paid supports/services with other available community resources to ensure best possible treatment and care.

Monitoring / Follow‑Up

• Ensure services are provided in accordance with the Care Management Plan.
• Confirm that the services in the plan are adequate and effective.
• Monitor changes in the needs or status of the recipient and assess progress toward goals.
• Document monitoring and actions taken or planned in the consumer’s record.
• Maintain a sufficient monitoring schedule to ensure health, safety and welfare.
• Monitors progress or lack thereof through observation, interview, and documentation review.

Coordination

• Work closely with the consumer, provider agencies, and others to avoid or resolve scheduling conflicts, duplication of effort, and other problems.
• Assist consumer in obtaining entitlement services whenever possible.
• Monitor the consumer’s continued eligibility for Medicaid and/or NC Health Choice and assist in preventing coverage lapse.

Outcomes

• Be responsible for the behavioral health quality metrics for assigned members.

Units Billed Minimum Requirement

• High Acuity: At least four care manager‑to‑member contacts per month, including at least one in‑person contact.
• Moderate Acuity: At least three contacts per month and at least one in‑person contact quarterly.
• Low Acuity: At least two contacts per month and at least two in‑person contacts per year, approximately six months apart.

Education and/or Experience

• An associates or bachelor’s degree in a human service field with two years MH/SA/DD experience with the population served;
• A licensed RN with two years MH/SA/DD experience with the population served;
• A Master’s with licensure, Master’s in a human service field with one year MH/SA/DD experience with the population served;
• A bachelor’s outside of a human service field with four years’ MH/SA/DD experience with the population served.