Care Management Liaison

🔥 6 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $28 - $37 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Alliance Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

Healthcare Insurance

Alliance Health is a regional health plan serving residents of several North Carolina counties by administering Medicaid and state-funded behavioral health and specialty services. It operates Tailored Plan coverage and Medicaid Direct options that integrate physical health, pharmacy, behavioral health, intellectual/developmental disability (I/DD), and traumatic brain injury (TBI) services, provides 24/7 behavioral health crisis support, member and provider portals, community trainings and outreach, and coordinates care through provider networks and governance committees.

📋 Description

• Serve as the primary liaison with the Division of Social Services • Coordinate outreach, distribute materials, understand the scope of services and programs • Coordinate through local DSS offices • Triage and escalate member specific or BH I/DD Tailored Plan questions • Assist Members with gaining access to services • Provide education, coordination, triage/escalation support, and technical assistance • Collaborate with member’s assigned Care Manager for coordination across member supports, providers, and community service agencies • Address barriers to accessing resources, services, and programs • Participate in treatment team meetings as needed with the member’s Care Team • Provide recommendations to improve access to services and coordination of care between Alliance and DSS • Coordinate care with DSS • Participate in regular meetings with DSS representatives to review placement/service needs and barriers • Travel between Alliance offices, meetings on behalf of Alliance, and to meet with members, providers, stakeholders, and attend court hearings as required

🎯 Requirements

• Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of post-bachelor’s degree MH/DD/SA experience with the population served • Or Bachelor’s degree from an accredited college or university in Non-Human Services field and four (4) years of post-bachelor’s degree MH/DD/SA experience with the population served • Or Master’s Degree from an accredited college or university in Human Services field and one (1) year of post graduate degree MH/DD/SA experience with the population served • Or Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT • Or Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of MH/DD/SA experience with the population served • Knowledge and experience collaborating with county departments of social services, department of juvenile justice, crisis response, and community-based treatment providers including training highly preferred. • NACCM, NADD-Specialist and/or CBIS Certification • Knowledge of System of Care Principles • Knowledge of Managed Care Principles • Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans • High level of diplomacy and discretion • Microsoft Office Skills • Excellent Communication Skills

🏖️ Benefits

• Medical • Dental • Vision • Life • Long and Short Term Disability • Generous retirement savings plan • Flexible work schedules including hybrid/remote options • Paid time off including vacation, sick leave, holiday, management leave • Dress flexibility