Care Manager – LP

🕒 Agosto 26

🌲 North Carolina – Remoto

🌲 North Carolina – Remote

💵 $62.993 - $75.000 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

👻 Score fantasma 1%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Vaya Health

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 1972

🛡️ Seguros

💼 Consultoria

📦 Logística

Insurance • Consulting • Logistics

A Vaya Health é uma organização sediada na Carolina do Norte que gerencia serviços para indivíduos com problemas de saúde comportamental, incluindo transtornos mentais e de uso de substâncias, deficiências intelectuais e de desenvolvimento (I/DD) e lesões cerebrais traumáticas (TBI). A organização fornece serviços de Medicaid personalizados para essas populações, com foco em uma abordagem centrada na pessoa que conecta os membros ao cuidado e suporte necessário para seus objetivos únicos de saúde e bem-estar. A Vaya Health enfatiza a colaboração em várias áreas de cuidado para garantir apoio abrangente aos seus membros, promovendo comunidades mais saudáveis em toda a região.

Descrição

• Provide proactive intervention and coordination of care to eligible Vaya Health members and recipients • Assess members’ behavioral, developmental, medical, social, pharmacy, LTSS, and unmet health-related resource needs • Identify and alleviate inappropriate levels of care and care gaps through assessment, multidisciplinary care planning, and service coordination • Conduct Health Risk Assessments and administer screenings including PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other needs-based screenings • Review and document current medications and maintain integrated medication lists in Vaya’s care management platform • Develop, update, and monitor person-centered care plans and crisis plans • Link members with formal and informal services and supports across health domains • Provide education, self-management strategies, crisis intervention, clinical consultation, and recommendations for appropriate care • Review provider clinical assessments for accuracy and completeness; consult with providers on complex clinical needs • Facilitate interdisciplinary care team, high-risk team, complex case staffing, and care planning meetings • Support transitional care management, discharge follow-up, and diversion from institutional placement • Collaborate with RNs, pharmacists, physicians, providers, families, caregivers, DSS, DJJ, CCNC, schools, and community stakeholders • Monitor service provision, member health and safety, critical incidents, quality, eligibility, and care management outcomes • Maintain accurate, timely, and compliant documentation in the administrative health record • Participate in trainings, committees, workgroups, multidisciplinary huddles, and other departmental projects • Perform other duties as assigned

🎯 Requisitos

• Master’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area • For non-nursing master’s degree holders: two years of experience working directly with individuals with behavioral health conditions • For non-nursing master’s degree holders serving LTSS needs: two years of prior Long-Term Services and Supports and/or Home and Community Based Services coordination, care delivery monitoring, and care management experience • For master’s degree holders in nursing: four years of full-time accumulated experience in mental health with the population served • Must meet the criteria of being a North Carolina Qualified Professional with the population served under 10A NCAC 27G .0104 • Valid licensure required; acceptable licenses include RN, LCSW, LCSWA, LCMHC, LCMHCA, LCMHCS, LPA, HSP-PA, LCAS, LCASA, LMFT, or LMFTA • Experience working directly with individuals with I/DD or TBI preferred • Proficiency with Vaya’s Care Management software platform/administrative health record • Compliance with HIPAA and Authorization for Release of Information practices • Proficiency in Microsoft Office products, including Word, Excel, PowerPoint, Outlook, and Teams • Knowledge of the DSM current version within the candidate’s scope • Considerable knowledge of the MH/SU/IDD/TBI service array provided through Vaya’s provider network • Ability to complete and maintain all required Vaya trainings and proficiencies • Ability to drive and sit for extended periods, including in rural areas • Ability to perform clinical assessments and identify member needs • Strong problem-solving, negotiation, arbitration, conflict-resolution, organizational, and communication capabilities • Must reside in North Carolina or within 40 miles of the North Carolina border • Ability to travel and deliver in-person contacts with members and care teams

🏖️ Benefícios

• Exempt position; not eligible for overtime compensation • Mobile position with work done in a variety of locations • Vaya Health equal opportunity employer