Supervisor, Care Management - IW | Remote NC

Trillium Health Resources; Raleigh (NC); Remote; USD 65,000 - 87,000; Full time

Benefits offered by this job

Work-from-home options

Health insurance with no employee-prem

Paid time off 24 days + 12 holidays

NC Local Government Retirement Pension

401k with 5% employer match

Public Service Loan Forgiveness (PSLF)

Remote work stipend

Job summary

Trillium Health Resources, a Tailored Plan and MCO serving 46 counties in North Carolina, seeks a Supervisor, Care Management - IW to lead a localized multi-disciplinary team within a managed care environment. The role ensures staff apply evidence-based practices using the Trillium Connections Care Management platform to deliver whole-person care.

Candidates must have RN licensure or a relevant bachelors degree with experience with I/DD or TBI, NCQA workflows, and a valid drivers license.

Qualifications

• Bachelors degree or licensure as an RN, and five (5) years of experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI;
• Masters degree in a human services field or licensure as an RN, and three (3) years of experience providing care management, case management, or care coordination to complex individuals with I/DD or TBI;
• Must have a valid drivers license.

Responsibilities

• Provide direct supervision and oversight for assigned team of localized, multi-disciplinary team supporting members with intellectual/developmental/TBI disabilities.
• Ensure staff utilize workflows as required in Trillium Connections to complete Care Management comprehensive assessment and care plans for members as care needs change.
• Establish a team based, person-centered approach to coordination of care to be implemented by all team members that effectively manages a members physical health, behavioral health, and social determinant of health needs using established workflows and processes effectively and efficiently and in accordance with NCQA procedures.
• Monitor teams to help ensure integration of care through the establishment of a multi-disciplinary team (e.g. member, caretaker/legal guardian, PCP, behavioral health and IDD providers, specialists, nutritionists, pharmacy, etc.) to meet the members needs.
• Be familiar with evidence-based and best practices for members and translate that knowledge into specific processes, procedures, and workflows for staff to identify and facilitate effective and efficient coordination and management of care for members.

Education

Bachelors degree or licensure as an RN

Masters degree in a human services field or licensure as an RN

Job description

Trillium Health Resources, a Tailored Plan and MCO serving 46 counties in North Carolina, seeks a Supervisor, Care Management - IW to lead a localized multi-disciplinary team within a managed care environment. The role ensures staff apply evidence-based practices using the Trillium Connections Care Management platform to deliver whole-person care.

Candidates must have RN licensure or a relevant bachelors degree with experience with I/DD or TBI, NCQA workflows, and a valid drivers license.