Care Manager - Cleveland

Tech9; Gastonia (NC); Hybrid; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

STD & LTD

Group Life Insurance

80 Hours of PTO

Paid Holidays

Employee Discount Program (Tickets at

Work)

Job summary

Epiphany Family Services is seeking a compassionate TCM Care Manager to coordinate Tailored Care Management for individuals in Cleveland County. You will assess needs, develop care plans, and collaborate with healthcare providers, families, and community partners to improve health outcomes.

The role requires strong organizational and communication skills, experience in care coordination, and the ability to work in a hybrid setting (in-office, field, and remote).

Qualifications

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

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 service systems.
• Provide ongoing follow-up, care coordination, and health promotion.
• Coordinate follow-up within 24 hours of hospital discharge and support transitions of care.

Skills

Care management principles

Community resources

ICD-10 coding knowledge

Behavior management techniques

Communication, organization, problem‑s

Education

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

Master’s degree preferred

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.

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.