Tailored Care Management Care Manager

SEHCNC; Raleigh (NC); On-site; USD 55,000 - 75,000; Full time

Job summary

Southeastern Healthcare of North Carolina, Inc. is seeking a Care Manager to oversee the quality of services, coordinate day-to-day team operations, and implement improvements in care delivery.

The role involves working one-on-one with a panel of high-risk patients to develop and manage their individualized care plans. The position emphasizes collaboration with the care team, consideration of social risk factors, and adherence to professional ethics and NC state guidelines.

Qualifications

• Bachelor’s degree or RN licensure required.
• Efficient in crisis/emergency situations and conflict resolution.
• Experience with individuals who have behavioral health needs or I/DD/TBI is preferred.

Responsibilities

• Manage beneficiary needs during transitions of care.
• Coordinate care with the care team and across the care continuum.
• Develop and manage individualized care plans (PCP).
• Coordinate and participate in clinical case conferences when needed.
• Assist with new admissions and transfers and support audits as needed.

Skills

Chronic mental illness knowledge

Leadership

Crisis management

Communication

Conflict resolution

Independent work

Education

Bachelor’s degree in health, psychology, sociology, social work, nursing or related field

RN licensure (optional)

Tools

Microsoft Word

Job description

The Care Manager is responsible for assuring the quality of service provided to team members, coordinating the day-to-day operations of the team, and recommending and implementing changes that would improve the delivery of services. The Care Manager works with a panel of high-risk patients, one-on-one, to develop and manage their individual care plans. S/he is accountable for coordinating care in partnership with the care team and across the care continuum. This includes consideration of social risk and other issues.

TASKS & RESPONSIBILITIES

• Management of beneficiary needs during transitions of care.
• Management of rare diseases and high-cost procedures.
• Consult with identified professionals, family members, and others, include their input in the Person-Centered Planning process, inform all involved stakeholders, and monitor the status of the consumer relationships in relation to treatment goals.
• High-risk care
• Chronic care management
• Management of high-risk social environments
• Identification of beneficiaries in need of care management
• Development of care management assessments/care plans
• Development and deployment of prevention and population health programs
• Coordination of services
• Documentation and documentation management/monitoring
• Fully participates in agency outcome evaluation system. Ensures the collection of required data
• Care delivery monitoring
• Coordinates and participates in clinical case conferences, when needed.
• Adheres to the Professional Code of Ethics and complies with the State of North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse.
• Coach staff in working with consumers and provide training to other employees by demonstration, repetition, modeling, large group training, etc.
• Responsible for the development, implementation, monitoring, and revision of the Person-Centered Plan (PCP) as it relates to the needs of the individual
• Assist with the coordination of new admissions and transfers (e.g.) screening applicants and facilitating placement, etc.
• Assist in audits if needed
• Other duties as assigned

KNOWLEDGE, SKILL & ABILITY

• Ability to support the mission, vision, and values of the company and abide by applicable standards of conduct, policies, and procedures.
• Ability to interact effectively with people from diverse backgrounds.
• Ability to communicate effectively, verbally, and in writing.
• Ability to problem-solve issues.
• Expertise in working with individuals who have chronic mental illness and/or co-occurring mental illness and substance abuse disorders
• Knowledge of and ability to implement the empowerment model
• Leadership skills that result in a positive work environment for staff and members
• Ability to work as part of a comprehensive community mental health team and to represent the facility in the community.
• Must be honest, dependable, and able to meet deadlines.
• Must be organized and able to handle multiple tasks.
• Self-motivated and able to work independently.

EDUCATION & REQUIREMENTS

• A bachelor’s degree is required in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area, or licensure as a registered nurse (RN).
• At least 18 years of age
• Graduated from a four-year college or university
• Able to read, write, understand, and follow directions
• No substantiated findings of abuse or neglect listed on the North Carolina Health Care Personnel Registry
• Knowledge of Client Rights
• Ability to handle crisis/emergency situations, and utilize conflict resolution skills
• Knowledge of basic computer and applications including Microsoft Word

EXPERIENCE

• Two years of experience working directly with individuals with behavioral health conditions or with an I/DD or a TBI need.

REPORTS TO

Supervising Care Manager

Southeastern Healthcare of North Carolina, Inc. is a social health company focused on community health, senior adult services, and behavioral health services. All of our programs and services are carefully crafted to enhance the quality of life and improve the general well-being of our participants. We work diligently to empower underserved populations by offering Home Health Services, Psychosocial Rehabilitation, Adult Day Health Services, Community Health Services, and other therapeutic services.
Our well-trained, multidisciplinary team of professionals has helped bring a sense of peace and security to countless families through the care and support offered in each of our programs. We work directly with doctors, family members, and community partners to provide continuity in care and service delivery. All of our programs are carefully crafted to enhance the quality of life and improve the general well-being of our participants. We work diligently to assist our participants and their families in overcoming the isolation, loneliness, and loss of self-esteem that frequently accompany debilitating physical and/or mental decline and other mental illnesses.
Located in Raleigh, our mission is to provide quality, comprehensive, social health care that improves the quality of life for the elderly and disabled adults. Southeast's vision is to provide quality services and develop best practices that can be replicated by other service providers.