Care Manager Extender

Daymark Recovery Services; Buies Creek (NC); On-site; USD 42,000 - 62,000; Full time

Job summary

Daymark Recovery Services is seeking a dedicated care management professional to support clients in Buies Creek, NC at the Harnett Center. You will perform care management extender duties, provide referrals, and monitor progress with diverse healthcare teams.

The role emphasizes health education, crisis intervention when needed, and close collaboration with providers to ensure a seamless plan of care and coordinated services for the client.

Qualifications

• High school diploma or equivalent; or 2 years paid care management experience.
• Certified Peer Support Specialist or CHW SCCT preferred.
• Experience serving I/DD, TBI, or behavioral health population preferred.
• TCM trainings required to be completed as assigned.

Responsibilities

• Provide care management extender duties and referrals; monitor/follow-up with clients and referrals.
• Educate clients on health promotion and self-care.
• Participate in interdisciplinary treatment planning and ensure all parties are aware of the plan of care.
• Provide crisis intervention and involve crisis services when needed.
• Coordinate services to reduce fragmentation of care and connect clients to resources.

Skills

Care coordination

Crisis intervention

Education

Documentation

Referral & linkage

Education

High school diploma or equivalent

Certified Peer Support Specialist

Community Health Worker (NC CHW SCCT)

Community Navigator experience

Experience with I/DD or TBI population

Job description

Job Details: Location: Harnett Center – Buies Creek, NC 27546. New hires who are benefit eligible may qualify for a hiring bonus.

Summary

Under direct and indirect supervision, provides care management functions, documentation, referral and linkage, and monitoring/follow‑up.

Essential Duties and Responsibilities

• Provides care management extender duties, refers and links to needed services, and monitors/follow‑up with client and referrals.
• Provides education for health promotion.
• Participates in interdisciplinary treatment planning, consultation activities, and ensures all involved parties are aware of the plan of care.
• Provides crisis intervention to all participants of TCM and involves crisis services when needed.
• All other duties as assigned by supervisor.

Care Management Documentation

• Works in conjunction with the client, family, friends, and providers who have extensive experience with the person.
• Assists the person to obtain the outcomes/skills/symptom reduction that they desire.
• Facilitates provider choice process, maintaining objectivity and providing fact‑finding assistance.
• Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in the consumer’s medical record prior to releasing any information when needed (Substance Use Disorders).
• Ensures that all information released/disclosed is documented on the Accounting of Release and Disclosure form (this includes documenting any documents given to consumer/legal guardian).

Referral / Linkage

• Coordinates the delivery of services to reduce fragmentation of care and maximize mutually agreed upon outcomes.
• Facilitates access to and connects recipients to services and supports identified in the Person‑Centered Plan.
• Makes referrals to providers for needed services and schedules appointments with the recipient.
• Assists the recipient as they transition through levels of care.
• Facilitates communication and collaboration among all service providers and the recipient.
• Assists the recipient in establishing and maintaining a medical home where needed.
• Assists the recipient in establishing OBGYN and prenatal care as necessary.

Natural Support / Services Not Funded Through the Tailored Plan

• Assists consumer/legally responsible person in considering and accessing natural community supports such as educational services, transportation, support from friends/family/church, etc.
• Ensures that the consumer gets the best possible treatment and care by carefully coordinating paid supports/services with other resources available in the community.

Monitoring / Follow‑Up

• Ensures that the Care Management Plan is effectively implemented and adequately addresses the needs of the recipient.
• Determines whether services are being provided in accordance with the recipient’s plan, whether the plan is adequate and effective, whether there are changes in the needs or status of the recipient, and whether the recipient is making progress toward their goals.
• Documents monitoring and the actions taken/planned as a result of the monitoring in the consumer’s record.
• Ensures that the monitoring schedule for each consumer is sufficient to assure the health, safety, and welfare of the consumer.

Coordination

• Works closely with the consumer/legally responsible person, provider agencies, and others involved with the consumer’s care to avoid/resolve scheduling conflicts, duplication of effort, and other problems that hinder effective treatment.
• Assists consumer in obtaining entitlement services whenever possible.
• Monitors the consumer’s continued eligibility for Medicaid and/or NC Health Choice, as applicable, and provides needed assistance to prevent coverage lapses.

Units Billed Minimum Requirement

• High Acuity: At least four care manager‑to‑member contacts per month, including at least one in‑person contact with the member.
• Moderate Acuity: At least three care manager‑to‑member contacts per month and at least one in‑person contact with the member quarterly (includes comprehensive assessment if conducted in‑person).
• Low Acuity: At least two care manager‑to‑member contacts per month and at least two in‑person contacts with the member per year, approximately six months apart (includes comprehensive assessment if conducted in‑person).
  

Education and/or Experience

• Minimum of a high school diploma or equivalent AND meet one of the following criteria:
  • Certified Peer Support Specialists.
  • Community health workers (CHW) who have completed the NC Community Health Worker Standardized Core Competency Training (NC CHW SCCT).
  • Individuals who served as Community Navigators prior to the implementation of Tailored Plans.
  • Parents or guardians of an individual with an I/DD or a TBI or a behavioral health condition (parent/guardian cannot serve as an extender for their own family member).
  • A person with lived experience with an I/DD or a TBI or a behavioral health condition.
• Or 2 years of paid care management type experience with at least 1 year paid experience at any time with the population served.
• TCM trainings will be required to be completed as assigned.