Innovations Care Manager – Polk/Rutherford/Henderson County

Job not on LinkedIn

🕒 September 30

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $54k - $70.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Vaya Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1972

🛡️ Insurance

💼 Consulting

📦 Logistics

Insurance • Consulting • Logistics

Vaya Health is a North Carolina-based organization that manages services for individuals with behavioral health issues, including mental health and substance use disorders, intellectual and developmental disabilities (I/DD), and traumatic brain injuries (TBI). The organization provides Medicaid services tailored for these populations, focusing on a person-centered approach that connects members to the necessary care and support for their unique health and wellness goals. Vaya Health emphasizes collaboration across various care areas to ensure comprehensive support for its members, fostering healthier communities across the region.

📋 Description

• Provide proactive intervention and coordination of care for eligible Vaya Health members and recipients • Conduct comprehensive health risk assessments covering behavioral, developmental, medical, social, and resource needs • Develop, update, and monitor person-centered care plans with members, legally responsible persons, and interdisciplinary care teams • Link members to formal and informal services and supports across physical health, behavioral health, I/DD, TBI, pharmacy, LTSS, and unmet resource needs • Administer PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other screenings • Provide education, self-management strategies, referrals, and therapeutic-support linkages • Review and document medications in Vaya’s Care Management platform and support continuity of care • Participate in interdisciplinary meetings, multidisciplinary huddles, case staffing, and care-team planning • Provide crisis intervention, transitional care management, and diversion support for members at risk of institutional placement • Monitor services through announced and unannounced visits, including nights and weekends when applicable • Identify service gaps, quality issues, compliance concerns, and health and safety risks; escalate critical incidents • Verify Medicaid eligibility and coordinate changes affecting services • Create accurate and timely documentation and Service Authorization Requests • Coordinate High-Risk Team meetings and collaborate with providers, stakeholders, and Vaya departments • Travel to members’ communities and work in a variety of locations

🎯 Requirements

• Bachelor’s degree in health, psychology, sociology, social work, nursing, or another relevant human services field • Two years of experience working directly with individuals with I/DD or TBI • Two years of prior Long-Term Services and Supports and/or Home and Community-Based Services coordination, care delivery monitoring, and care management experience • If bachelor’s degree is in Human Services: two years of full-time accumulated experience with the population served • If bachelor’s degree is in another field: four years of full-time accumulated experience with the population served • If bachelor’s degree in Nursing and licensed as an RN: four years of full-time accumulated experience with the population served • If master’s degree in Human Services: at least two years of full-time accumulated experience with the population served • Must meet North Carolina Qualified Professional criteria for the population served under 10A NCAC 27G .0104 • RN candidates must be licensed by the North Carolina Board of Nursing to practice in North Carolina • Proficiency with Vaya’s Care Management software platform/administrative health record • Intermediate to advanced proficiency in Microsoft Office products, including Word, Excel, PowerPoint, Outlook, and Teams • Knowledge of the DSM current version within scope • Knowledge of MH/SU/IDD/TBI service arrays • Ability to complete and maintain required Vaya trainings and proficiencies • Ability to drive and sit for extended periods, including in rural areas • Must maintain residency in North Carolina or within 40 miles of the North Carolina border • Effective interpersonal, organizational, communication, decision-making, and adaptability skills

🏖️ Benefits

• Overtime compensation eligibility • Required Vaya/Care Management training and maintained training proficiencies • Equal opportunity employment