Managed Care Coordinator

Jobtailor; Raleigh (NC); On-site; USD 42,000 - 60,000; Full time

Job summary

Jobtailor seeks a Care Manager in North Carolina to provide integrated whole-person Care Management under the CFSP model. You will work with county child welfare workers and a multidisciplinary team to align health needs with permanency goals.

Responsibilities include telephonic or face-to-face assessments, identifying members with clinical needs, and setting short- and long-term goals with members, families, and physicians. Requires a BA/BS and NC residency.

Qualifications

• Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations
• Residence in North Carolina is required
• BA/BS degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area preferred
• Two (2) years of experience working directly with individuals served by the child welfare system is preferred

Responsibilities

• Provide integrated whole-person Care Management under the CFSP Care Management model
• Offer Trauma-Informed Care by recognizing ACEs in CFSP population
• Collaborate with County Child Welfare Worker to align health care needs with permanency goals
• Coordinate care with a multidisciplinary care team
• Conduct telephonic or face-to-face assessments to identify and manage member program needs
• Identify members who would benefit from expanded services

Skills

Care Management

Trauma-Informed Care

Team Collaboration

Assessments & Goal Setting

Education

BA/BS degree

Job description

• Provide integrated whole-person Care Management under the CFSP Care Management model
• Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population
• Collaborate closely with each Member’s County Child Welfare Worker to align health care needs with permanency planning goals
• Work with a multidisciplinary care team to coordinate care
• Conduct telephonic or face-to-face assessments to identify, evaluate, coordinate, and manage member program needs
• Identify members with potential clinical health care needs using predefined tools
• Oversee non-clinical needs of members with chronic illnesses
• Set short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians
• Identify members who would benefit from expanded services

Requirements

• Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations
• Must reside in North Carolina
• BA/BS degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area preferred
• Two (2) years of experience working directly with individuals served by the child welfare system is preferred

Core Competencies

Demonstrates expertise in Care Management, particularly within the CFSP model, while effectively collaborating with multidisciplinary teams to address the health and non-clinical needs of members. Proficient in conducting assessments and setting goals in partnership with members and their support systems.