Remote Care Manager - Population Health & Care Coordination

Automatic Data Processing, Inc.; Cary (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

CCNC is seeking a Care Manager to join our care management team in Cary, NC. This role collaborates with primary care providers and community partners to coordinate a full continuum of health care services.

The Care Manager will conduct member assessments, develop and evaluate care plans, provide patient education, and support culturally competent, cost-effective care while meeting productivity expectations.

Qualifications

• Graduation from an accredited school of nursing
• Active, unrestricted RN license to practice in North Carolina
• 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
• 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 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

Excellent communication

Bilingual preferred

Computer skills

Critical thinking

Independent decision-making

Time management

Team collaboration

Education

Master’s degree in social work

BSN preferred

Job description

CCNC is seeking a Care Manager to join our care management team in Cary, NC. This role collaborates with primary care providers and community partners to coordinate a full continuum of health care services.

The Care Manager will conduct member assessments, develop and evaluate care plans, provide patient education, and support culturally competent, cost-effective care while meeting productivity expectations.