Innovations Care Manager (Henderson County, NC)

Vaya Health; North Carolina; Remote; USD 45,000 - 70,000; Full time

Job summary

Join a forward-thinking organization as an Innovations Care Manager, where you will play a pivotal role in providing proactive care coordination for members in need. This dynamic position requires strong communication and organizational skills, as you will engage with diverse stakeholders to bridge care gaps across various health domains. You will conduct assessments, develop tailored care plans, and ensure seamless transitions for members, all while working in a supportive and collaborative environment. If you are passionate about making a difference in the lives of others and thrive in a mobile role, this is the perfect opportunity for you!

Qualifications

• Bachelor's degree required; experience with I/DD, TBI, LTSS, and care management.
• Must meet NC Qualified Professional criteria.

Responsibilities

• Conduct assessments and develop person-centered care plans.
• Support members' access to services and monitor service delivery.

Skills

Effective communication

Interpersonal skills

Attention to detail

Organizational skills

Decision-making

Proficiency in Microsoft Office

Understanding of mental health services

Education

Bachelor's degree in a related field

Tools

Vaya's Care Management software

Microsoft Office

Job description

Location:

Remote - must live in or near Henderson County, North Carolina. Incumbent in this role must live in North Carolina or within 40 miles of the NC border. This position requires travel.

General Statement of Job

The Innovations Care Manager (Innovations CM) is responsible for providing proactive intervention and care coordination to eligible Vaya Health members to ensure appropriate assessment and services. The Innovations CM collaborates with members and care teams to address care gaps across various health domains, including mental health, substance use, intellectual/developmental disabilities, traumatic brain injury, physical health, pharmacy, LTSS, and unmet health-related needs. This role involves supporting transitions from facilities, tracking discharge follow-ups, and working in members' home communities. The position requires travel and is mobile, working across multiple locations. The Innovations CM works with staff, members, families, providers, and community stakeholders. Essential functions include:

• Utilizing Vaya's Care Management software and health records
• Outreach and engagement
• HIPAA compliance and authorization practices
• Performing comprehensive Health Risk Assessments (HRA)
• Adhering to medication and continuity of care processes
• Participating in interdisciplinary care planning and team meetings
• Transitional care management and diversion from institutional placement

Residency Requirement

This position requires NC residency or living within 40 miles of the NC border to effectively deliver in-person contacts.

Essential Job Functions

Includes assessment, care planning, interdisciplinary team collaboration, support monitoring, documentation, fiscal accountability, and other duties as assigned. Key responsibilities involve conducting assessments, developing person-centered care plans, supporting members' access to services, participating in multidisciplinary meetings, monitoring service delivery, ensuring documentation accuracy, and supporting crisis intervention and transition planning.

Knowledge, Skills & Abilities

• Effective communication and interpersonal skills
• Ability to build relationships and represent Vaya professionally
• Attention to detail and organizational skills
• Decision-making ability and result-oriented approach
• Proficiency in Microsoft Office and Vaya systems
• Understanding of mental health, substance use, I/DD, TBI services, and NC Medicaid programs

Education & Experience Requirements

Bachelor's degree in a related field; specific experience with I/DD, TBI, LTSS, and care management is required, with variations depending on the degree held. Must meet NC Qualified Professional criteria.

Licensure/Certification

If holding a Nursing degree, must be licensed by the NC Board of Nursing.

Physical Requirements

• Visual acuity, physical activity including walking, reaching, and sitting for extended periods
• Ability to drive and work in various environments

Residency & Salary

Residency in NC or within 40 miles of the border is required. Salary depends on qualifications; position is non-exempt with overtime eligibility.

Application Deadline & Process

Open until filled. Apply online at Vaya Health Careers.

Vaya Health is an equal opportunity employer.