Care Manager - Cleveland

Epiphany Family Services, LLC; Gastonia (NC); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

STD-LTD

Group life insurance

PTO 80 hours

Paid holidays

Employee discount

Job summary

Epiphany Family Services, LLC is seeking a compassionate TCM Care Manager to coordinate Tailored Care Management for clients across Cleveland County. This role assesses needs, develops plans, coordinates services, and advocates for clients within a person-centered framework.

The position features a hybrid work model (in-office, field, and remote), regular hours, and collaboration with healthcare partners to improve outcomes.

Qualifications

• Bachelor’s degree required; Master’s preferred.
• Experience in care coordination or case management.
• Experience with behavioral health or social barriers is a plus.

Responsibilities

• Conduct comprehensive assessments of physical, behavioral health, and social needs.
• Develop, implement, and monitor individualized care plans.
• Coordinate services across medical, behavioral health, housing, and social services.
• Provide ongoing follow-up and health promotion.

Skills

Care management principles

Communication skills

Caseload management

EHR systems & MS Office

Education

Bachelor’s degree in Social Work, Nursing, Human Services, or related field

Tools

EHR systems

Microsoft Office

Job description

TCM Care Manager

Department: Tailored Care Management

Location: Hybrid (In-Office, Field, and Remote)

Service Area: Cleveland County

Schedule: Monday – Friday | 8:30 AM – 5:00 PM

Position Summary

Epiphany Family Services is seeking a compassionate and detail-oriented TCM Care Manager to serve as the primary point of coordination for individuals enrolled in our Tailored Care Management (TCM) program.

This role ensures the delivery of person-centered, comprehensive, and high-quality care by assessing needs, developing individualized service plans, coordinating services, and advocating for clients. The Care Manager collaborates with individuals, families, healthcare providers, and community partners to improve overall health outcomes and quality of life.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions. Additional duties may be assigned as needed.

Key Responsibilities

Care Management & Coordination

• Conduct comprehensive assessments of physical, behavioral health, and social needs
• Develop, implement, and monitor individualized care plans based on client goals
• Coordinate services across medical, behavioral health, housing, and social service systems
• Provide ongoing follow-up, care coordination, and health promotion

Referrals & Resource Linkage

• Connect individuals to appropriate community resources
• Address Social Determinants of Health (SDOH), including housing, education, access to care, and community support
• Empower individuals to actively manage their health and wellness

Transitions of Care

• Coordinate follow-up within 24 hours of hospital or emergency department discharge
• Support individuals through life transitions (e.g., housing changes, incarceration release)

Crisis Response

• Identify and respond to crisis situations in accordance with agency protocols
• Participate in on-call rotation and 24/7 crisis response as required
• Participate in post-crisis debriefings and prevention planning

Collaboration & Advocacy

• Build and maintain relationships with interdisciplinary care teams and community partners
• Advocate for equitable access to services and resources
• Educate clients and families on available services and self-management strategies

Documentation & Compliance

• Maintain accurate, timely, and compliant documentation in accordance with state, federal, and program guidelines
• Monitor client progress and adjust care plans as needed

Quality Improvement & Additional Duties

• Participate in team meetings, trainings, and Quality Improvement (QI) initiatives
• Monitor utilization, outcomes, and compliance metrics
• Perform additional duties as assigned

Qualifications

Education & Experience

• Bachelor’s degree in Social Work, Nursing, Human Services, or related field required; Master’s preferred
• Minimum of 2 years of experience in care management, case management, or care coordination
• Experience working with individuals with behavioral health conditions, chronic health needs, or social barriers.

Qualified Professional (QP) Requirements – North Carolina

Candidates must meet Qualified Professional (QP) criteria in accordance with 10A NCAC 27G. To qualify, candidates must meet one of the following:

• Be a fully certified professional through the North Carolina Addictions Specialist Professional Practice Board (NCASPPB) with 4 years of full-time experience working with the MH/DD/SUD population
• Note: CADC-R and CADC-I are not considered full certification

OR

• Meet degree and experience requirements as follows:

For CADC Credential Holders

• If, no college degree:
• Minimum 4 years of full-time experience with MH/DD/SUD population
• If college graduate: must meet one of the following:
• Master’s degree in a human services field + 1 year of supervised MH/DD/SUD experience
• Bachelor’s degree in a human services field + 2 years of supervised MH/DD/SUD experience
• Bachelor’s degree in a non-human services field + 4 years of supervised MH/DD/SUD experience

OR

• Be a Substance Use Disorder Professional with equivalent supervised experience:
• 1 year (Master’s level)
• 2 years (Bachelor’s in human services)
• 4 years (Bachelor’s in non-human services)

Skills & Competencies

• Strong understanding of care management principles and community resources
• Knowledge of ICD-10 coding and behavior management techniques
• Excellent communication, organizational, and problem-solving skills
• Ability to manage a caseload and prioritize effectively
• Proficiency in EHR systems and Microsoft Office

Licensure/Certification (Preferred)

• Licensed Social Worker, Registered Nurse, or other applicable credential
• Valid driver’s license and reliable transportation for community-based work

Work Environment

• Hybrid work model (in-office, remote, and field-based services)
• Travel within assigned service areas required
• Flexible hours may be needed to meet client needs
• Care Manager JD

Benefits

• Medical, Dental, and Vision Insurance
• Short-Term Disability (STD) & Long-Term Disability (LTD)
• Group Life Insurance
• 80 Hours of PTO (Vacation, Sick, and Personal Time)
• Paid Holidays
• Employee Discount Program (Tickets at Work)

About Epiphany Family Services

Epiphany Family Services is committed to providing an integrated system of care to individuals from diverse backgrounds. We empower those experiencing mental health and substance use challenges with the tools needed to achieve and sustain recovery.

Join Our Team

If you are passionate about making a meaningful impact and providing high-quality, person-centered care, we encourage you to apply and grow with us.

EEOC Statement

Epiphany Family Services, LLC is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, genetic information, veteran status, or any other protected status under federal, state, or local law.