Care Manager I-TCL

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $28 - $37 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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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

• Complete comprehensive assessments or Care Needs Screening at enrollment, yearly or at changes in condition • Develop Plans of Care derived from the completed assessments • Assign interventions/plans of care to applicable Alliance Care Management team member to meet identified member needs, for monitoring, and/or service engagement activities • Submit referrals to the CCM when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity • Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process • Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification • Utilize person centered planning, motivational interviewing, and historical review of assessments in JIVA to gather information and to identify supports needed for the individual • Actively collaborate with members/legally responsible person, care team, service providers, and identified supports to ensure development of a plan that accurately reflects the individual’s needs and desired life goals consistent with best practices and working through the permanent supportive housing model • Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance

🎯 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 • 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 • 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 • Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT • Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of mh/dd/sa experience with the population served • Preferred: NACCM, NADD-Specialist and/or CBIS Certification • Knowledge, Skills, & Abilities Person Centered Thinking/planning • Knowledge of using assessments to develop plans of care • Knowledge of Diagnostic and Statistical Manual of Mental Disorders • Knowledge of LOC process, SIS for IDD and FASN assessment for TBI • Knowledge of Medicaid Tailored Plan, Medicaid Direct, enhanced MHSUD, and waiver benefits plans • Knowledge of and skilled in the use of Motivational Interviewing • Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)

🏖️ Benefits

• Medical, Dental, Vision, Life, Long 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