Qualified Professional (QP), I/DD

Case Management Services, LLC; Raleigh (NC); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Health insurance

401(k) match

Career benefits

Job summary

Covenant Case Management Services seeks a Qualified Professional to support individuals with I/DD in a hybrid role in the Charlotte area. You will lead staffing, manage a 25–30 caseload, supervise DSPs, and ensure regulatory compliance across DHHS, Medicaid, and MCO requirements.

You will conduct comprehensive assessments, develop ISP-driven care plans, review documentation, and monitor utilization. Collaboration with QM, Nursing, and SCS teams is essential for high-quality services.

Qualifications

• Hold a valid license, provisional license, certificate, registration, or permit issued by a governing board regulating a human service profession
• Graduate degree in a human service field with at least one year of post-graduate experience
• Bachelor's degree in a human service field with at least two years post-graduate experience
• Bachelor's degree in any non-human service field with at least four years post-graduate experience

Responsibilities

• Staffing and team recruitment to cover caseloads
• Manage caseload of 25–30 active cases with matching of staff to cases
• Lead DSP supervision meetings and ongoing staff training
• Maintain regulatory compliance with DHHS/state rules, Medicaid/state waivers, MCO requirements
• Develop and review ISPs and care plans with measurable goals
• Review and sign ISP documentation and coordinate with Medical Records
• Monitor utilization and correct documentation across staff
• Prompt incident reporting and support IR/IRIS entries for incidents
• Partner with QM on risk mitigation and Plans of Correction
• Lead internal audits and CARF activities with QM and Clinical Directors
• Monitor data and billing accuracy; manage authorizations and service limits
• Engage with clients and stakeholders; secure consents and represent CCMS
• Train staff on client needs and ISP requirements; drive policy compliance
• Remain on-call for crisis services as needed
• Collaborate with SCS Director and Nursing for service updates and meds tracking
• Support leadership with staff development and special projects
• Complete additional operational duties as requested by leadership

Skills

Credentialing

Experience

Knowledge

Skills

Resources

Physical Req.

Education

License or license-equivalent

Graduate degree in human service field

Bachelor's in human service field

Bachelor's in non-human service field + 4+ years post-grad

Job description

Covenant Case Management Services is seeking an energetic and compassionate Qualified Professional (QP) with experience in intellectual and developmental disabilities (I/DD) to support individuals in the Charlotte area. In this hybrid role, you will help ensure high-quality service delivery, build positive relationships, and advocate fiercely for the people we serve.

Key Responsibilities

Staffing, Caseload, and Team Leadership

• Team Recruitment: Own staffing for your team and caseloads; actively recruit and fill open roles to ensure adequate coverage.

• Caseload Management: Manage a caseload of 25–30 active cases (excluding cases held for coverage). Match staff to cases based on skills, personality, and fit while ensuring timely staffing and strict policy compliance.

• Supervision: Oversee direct care staff to ensure they adhere to CCMS policies and best practices. Lead monthly Direct Support Professional (DSP) supervision meetings and deliver ongoing training.

Compliance, Documentation, and Care Planning

• Regulatory Compliance: Maintain strict compliance with DHHS/state rules, Medicaid/state waivers, MCO requirements, and CCMS policies. Act as a champion for policy adoption and ethical practice.

• Care Planning: Conduct comprehensive, person-centered assessments; set measurable goals and develop clinically accurate, medically necessary Individualized Support Plans (ISPs).

• Quality Review: Review and approve ISP documentation, assessments, progress notes, and related records. Sign off on new or updated ISPs and coordinate with Medical Records for timely system uploads.

• Utilization Management: Daily review note reports to monitor compliance with staff-completed service notes. Train staff on correct documentation practices, approve compliant entries, and issue required corrections. Monitor underutilized reports and take swift action to optimize service delivery.

Incident Management & Quality Assurance

• Incident Reporting: Promptly report all incidents to Quality Management (QM) via the internal Incident Reporting (IR) process; fully support IR/IRIS entries for Level 2 and Level 3 incidents.

• Risk Mitigation: Partner with QM to identify risks, recurring incidents, or service gaps. Participate in risk-reduction activities and assist in developing, implementing, and monitoring Plans of Correction (POC).

• Audit Readiness: Lead and participate in internal audits and CARF-related activities. Collaborate with QM, Clinical Directors, and Medical Records to prepare documentation and regulatory responses for auditors. Ensure ongoing, regulation-ready state across all assigned programs.

• Financial Accountability: Review data and billing for precision and compliance. Monitor authorization status monthly, completing service limit sheets for every authorization received to support utilization management.

Client Engagement & Community Collaboration

• Consents: Secure valid consents from individuals and legally responsible persons, supporting annual client consent updates when necessary.

• Stakeholder Relations: Build trusted relationships with MCOs, collaborating agencies, families, and CCMS leadership. Proudly represent CCMS in community activities and interagency meetings.

• Administration: Manage ongoing administrative workflows—including authorizations, progress reports, and documentation reviews—to guarantee completely regulation-ready records.

Training & Staff Development

• Skill Building: Train staff members thoroughly on individual client needs, ISP requirements, and programmatic benchmarks. Lead staff development initiatives to maximize policy compliance.

• Accountability: Provide guidance and clear accountability metrics for DSP performance. Administer corrective actions in accordance with company policy and facilitate the rollout of ongoing policy updates.

Crisis & On-Call Support

• Crisis Response: Maintain availability for on-call crisis services as required. Uphold the highest quality and ethical standards to boost overall program performance and ensure compliance with federal, state, and local laws.

SCS & Nursing Collaboration

• SCS Coordination: Collaborate closely with the SCS Director regarding any service updates or adjustments for members assigned to Supported Career Services (SCS), or those adding SCS to their active treatment plan.

• Medical Compliance: Partner with the Nursing team to ensure all members have accurate, documented medications on file that meet company compliance standards.

• Medication Tracking: Assist with the collection of medication administration documentation and periodically update physician order changes alongside the Nursing team.

• Clinical Reporting: Document and report side effects, medical changes, or hospital visits directly to the Nursing team for immediate, specialized support.

Leadership Support

• Mentorship: Collaborate directly with Clinical Directors and executive leadership to aid in mentoring newly hired staff and incoming QPs.

• Special Projects: Assist with special agency projects, targeted training curriculum, job shadowing, and customized one-on-one development of staff as requested.

• Flexibility: Complete additional operational duties and responsibilities as requested by leadership.

What We Are Looking For

Qualifications & Experience

• Credentialing: Must meet the official North Carolina definition of a Qualified Professional (QP).

• Experience: Have at least five years of supervisory and management experience and/or five years of dedicated experience working within human services.

• Knowledge: Possess a deep, working knowledge of the behavioral sciences and allied disciplines related to Intellectual and Developmental Disabilities (I/DD).

• Skills: Demonstrate exceptional communication, leadership, adaptability, and complex problem-solving skills.

• Resources: Must have reliable access to high-speed internet, a functional cell phone, and reliable transportation.

• Physical Requirements: Ability to sit, stand, walk, and lift up to 50 pounds as required by field conditions.

Education & Licensure Pathway Requirements

Candidates must meet at least one of the following state-defined educational criteria:

• Hold a valid license, provisional license, certificate, registration, or permit issued by a governing board regulating a human service profession; OR

• Have a graduate degree in a human service field paired with at least one year of post-graduate experience; OR

• Have a bachelor's degree in a human service field paired with at least two years of post-graduate experience; OR

• Have a bachelor's degree in any non-human service field paired with at least four years of post-graduate experience.

Covenant Rewards for You | Benefits

• Generous Total Rewards Plan – including health insurance, 401(k) match, and career benefits.

• A diverse and inclusive community focused on professional growth, compassionate care, and a highly supportive work environment.

Equal Employment Opportunity Statement

Covenant Case Management Services actively encourages applications from individuals of all backgrounds and lived experiences. We believe diversity strengthens our ability to serve individuals and families with dignity, respect, and compassion.

Covenant Case Management Services is an Equal Employment Opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, marital status, or any other protected characteristic under applicable federal, state, or local laws.

We are committed to providing a workplace free from discrimination and harassment and to fostering a diverse, inclusive, and respectful environment for all employees, contractors, and applicants. Employment decisions are based on qualifications, merit, and business needs.