Care Manager Extender Wake/Johnston & Surrounding Counties

RHA Health Services, LLC; Burlington (NC); On-site; USD 21,000 - 30,000; Full time

Benefits offered by this job

PayActiv program

Employee perks & discount program

Paid Time Off (full-time)

Health insurance (full-time)

401(k) retirement savings

Job summary

RHA Health Services, LLC is hiring for a Care Manager Extender for Wake/Johnston & Surrounding Counties in Burlington, NC. The role delivers whole-person, integrated care management in sites, homes and communities through face-to-face and team-based work, focusing on physical and behavioral health, I/DD, and related services.

You will promote high-quality care, ensure policy compliance, and collaborate with cross-functional teams to support individuals in the Tailored Care Management program.

Qualifications

• Must have lived experience navigating NC Medicaid delivery system or related health services.
• Certified Peer Support Specialist or equivalent experience preferred.
• Parent/guardian experience navigating Medicaid with related conditions.
• Two years of paid experience with Tailored Care Management eligible population.

Responsibilities

• Care Management service delivery: outreach, engagement and follow-up with members.
• Coordinate services/appointments and transportation reminders.
• Promote health, share information with care team, manage referrals.
• Participate in case conferences and address unmet health needs.
• Assist in data-driven care planning and ensure policy compliance.
• Collaborate with Integrated Care Team, community partners and CIN.
• Maintain professional image and adhere to safety policies.

Skills

Lived experience with I/DD or TBI

Lived experience with behavioralHealth

Caregiver/guardian experience navigate

Education

High School Diploma or equivalent

Job description

We are hiring for:

Care Manager Extender Wake/Johnston & Surrounding Counties

Type:

Regular

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!

Provides whole person, integrated care management in service sites, homes and communities through face to face and other interactions and through the work of integrated care teams. Promotes whole person care directed at better health outcomes and addressing all needs spanning physical and behavioral health, I/DD, pharmacy, and unmet health related resources. Ensures sustained high quality of care and services to persons with mental health, substance use and/or developmental disabilities. Complies with company, state and federal policy.

Pay: $15.00-$22.00

Location: Burlington NC, Alamance County

Required Education/Experience:

Education

High School Diploma or equivalent; Must be at least 18 years of age

Experience

Must meet at least one of the following requirements:

• Be a person with lived experience with an I/DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system.*
• Be a person with lived experience with a behavioral health condition and a Certified Peer Support Specialist.
• Be a parent or guardian of an individual with an I/DD or a TBI or a behavioral health condition and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member).*
• Have two (2) years of paid experience performing the following types of functions, with at least one year of paid experience working directly with the Tailored Care Management eligible population:

• Performing general outreach, engagement, and follow-up with members
• Coordinating services/appointments (e.g., appointment/wellness reminders, arranging transportation)
• Engaging in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing
• Sharing information with the care manager and other members of the care team on the member’s circumstances
• Providing and tracking referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services
• Participating in case conferences
• Support the care manager in assessing and addressing unmet health-related resource needs

License:

• Must have Valid Driver’s License

Essential Job Related Responsibilities

• Care Management Service Delivery – Performs general outreach, engagement, and follow-up with members; coordinates services/appointments (e.g., appointment/wellness reminders, arranging transportation); Engages in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing; shares information with the care manager and other members of the care team on the member’s circumstances; Provides and tracks referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services; Participating in case conferences; supports the care manager in assessing and addressing unmet health-related resource needs. Implements workflows, policies and procedures, and documentation standards that promote whole person care.. Maintains a positive and professional image in the work setting and community. Follows policies and procedures to ensure accountability of service delivery.
• Best Practices – Demonstrates a passion for positive change by continuously improving and defining innovative care management interventions. Stays up to date with current best practices and keeps the team continuously informed about best practice innovations.
• Cross-functional Collaboration - Collaborates cross-functionally with other Integrated Care Team members, community organizations and RHA departments to ensure success of Care Management implementation.
• Person-Centered Approach – Maintains a person-centered philosophy focusing on an individual’s strengths, needs, and preferences that promote health, wellness, and safety. Fosters a person-centered culture with Care Management Teams to optimize individual education around self-management, disease management, and integrated healthcare planning.
• Quality Assurance and Use Of Data - Implements the strategic use of data to support delivery of effective, integrated, and well-coordinated care management services.. Ensures individual data sharing and storage consistent with state and company policies.
• Maintains a Safe and Healthy Environment- Implements all organization health and safety policies and procedures.
• Financial Performance - responsible for documenting services provided in a timely manner in order to be appropriately accounted for reimbursement purposes
• Ensures proactive and effective communication - Establishes and maintains frequent and regular communication with persons supported, family members, other team members and colleagues. Fosters open communication and feedback. Helps maintain focus on care planning goals and outcomes. Establishes and maintains strong external relationships, to include providers, community organizations, and Clinically Integrated Networks (CIN).
• Ethics & Compliance – Supports and participates in an ethical culture in conjunction with the RHA Code of Conduct and Ethics and Compliance Program, emphasizing confidentiality and no retaliation policies. Directs the confidential and immediate investigation into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and violations of ethics and compliance practices according to company policy. Ensures protections of individuals served during investigations. Ensures all external reporting requirements are followed. Ensures adequate follow- through on recommendations from investigation reports. Participates as assigned as designated members to Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force and Human Rights Committee meetings.

#RHAIDD

Pre-employment screening:

• Complete criminal background
• Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
• Drug testing
• Education verification and other credentialing based on position requirements.
• Proof of employment history or references (if required)
• Positions that require driving Proof of driver’s license, driver’s insurance, and vehicle, IF required for providing transportation for individuals.

We offer the following benefits to employees:

• Payactiv: early access to the money you’ve earned from hours you’ve already worked,before payday!
• Employee perks and discount program :to help you save money!
• Paid Time Off (full-time employees only)
• Health/Insurance (full-time employees only)
• 401(k)retirement savings program
• Wellbeing Programs: Physical, Emotional and Financial
• Chronic Disease management programs forhypertension and diabetes (for qualifying employees)
• Training: Free CPR, first aid, and job-specific training opportunities

*contract/contingent workers and interns do not qualify for any of the above benefits

EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

About RHA:

At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.

For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.