Remote Care Manager: Elevating Community Health Outcomes

Community Care of North Carolina Inc; Greenville (NC); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive Benefits Package

Job summary

Community Care of North Carolina Inc in Greenville, NC seeks a Care Manager to assess, plan, coordinate, monitor, and evaluate care across the continuum, collaborating with physicians, the care team, and families. The role may involve remote work within regions and travel across the state.

Ideal candidates are RN with NC license or LCSW with NC license, plus CCM preferred. Excellent communication, case management, and HIPAA compliance are essential for delivering holistic, cost-effective care.

Qualifications

• Graduation from an accredited school of nursing
• Master’s degree from an accredited school of social work
• Active, unrestricted RN license to practice in North Carolina
• Active NC license as an LCSW
• CCM certification preferred; will obtain within 1 year of eligibility per CCM requirements
• Meets licensure or educational eligibility requirements as determined by The Commission for Case Management Certification
• Access to Hospital/Data or Electronic Medical Record system will be required, as necessary
• Maintain a valid driver’s license with current auto liability insurance

Responsibilities

• Provide effective Care Management services based on case management standards of practice to enrolled populations.
• Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care.
• Work with members to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care.
• Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management.
• Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families.
• Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable.
• Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness.
• Utilize Hospital/Data or Electronic Medical Record system as available.
• Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies.
• Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise.
• Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes.
• Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization.
• Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication.
• Respect member’s values, experience, and help to empower members to be an advocate for their own care.
• Maintain appropriate member documentation in the Care Management documentation platform, in accordance with organizational policies and procedures.
• Meet monthly productivity and role expectations.
• Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives.
• Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded.
• Attend departmental and corporate meetings, local and regional training, or other events as required.
• Travel using personal vehicle will be required within the region and/or the State.
• Perform all other duties as requested.

Skills

Communication

Bilingual

Case management

Time management

Critical thinking

Teamwork

Cultural competency

Education

Master’s degree in Social Work

LCSW license in NC

Nursing degree (RN)

RN license in NC

BSN preferred

CCM certification preferred

Master’s in Nursing or related field

Tools

Hospital/Data system

EMR access

Job description

Community Care of North Carolina Inc in Greenville, NC seeks a Care Manager to assess, plan, coordinate, monitor, and evaluate care across the continuum, collaborating with physicians, the care team, and families. The role may involve remote work within regions and travel across the state.

Ideal candidates are RN with NC license or LCSW with NC license, plus CCM preferred. Excellent communication, case management, and HIPAA compliance are essential for delivering holistic, cost-effective care.