Care Manager – LP

🕒 il y a 14 jours

🌲 North Carolina – Distant

🌲 North Carolina – Remote

💵 $62 993 - $75 000 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👔 Manager

👻 Score fantôme 1%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Vaya Health

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 1972

🛡️ Assurance

💼 Conseil

📦 Logistique

Insurance • Consulting • Logistics

Vaya Health est une organisation basée en Caroline du Nord qui gère les services pour les individus ayant des problèmes de santé comportementale, y compris les troubles mentaux et de l'usage de substances, les déficiences intellectuelles et développementales (D/I), et les traumatismes crâniens. L'organisation fournit des services Medicaid adaptés pour ces populations, en se concentrant sur une approche centrée sur la personne qui connecte les membres aux soins et soutiens nécessaires pour leurs objectifs uniques en matière de santé et bien-être. Vaya Health met l'accent sur la collaboration entre divers domaines de soins pour garantir un soutien complet à ses membres, favorisant des communautés plus saines dans toute la région.

Description

• Provide proactive intervention and coordination of care to eligible Vaya Health members and recipients • Conduct comprehensive bio-psycho-social Health Risk Assessments covering social determinants of health, behavioral and physical health, daily living activities, and resource access • Develop, update, and monitor person-centered care plans, crisis plans, and treatment goals • Link members with formal and informal services and supports across medical, behavioral health, I/DD, TBI, pharmacy, LTSS, and unmet health-related resource needs • Administer PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other needs-based screenings • Review and transcribe medications and maintain multisource medication lists in Vaya’s care management platform • Participate in and facilitate interdisciplinary care team meetings and complex case staffing • Provide clinical consultation and technical support to providers; review clinical assessments for accuracy and completeness • Provide clinical assessments when lack of a clinical home or network provider creates significant member risk • Provide crisis intervention, coordination, and care management in community settings • Support transitional care management and coordinate diversion efforts for members at risk of institutional placement • Collaborate with members, legally responsible persons, caregivers, providers, Vaya staff, DSS, DJJ, CCNC, schools, and community stakeholders • Monitor service provision, member health and safety, critical incidents, quality of care, and compliance • Verify continuing Medicaid eligibility and respond to members’ movement outside Vaya’s catchment area • Create and monitor accurate, timely documentation in the administrative health record • Maintain compliance with HIPAA, ROI practices, Vaya policies, NCDHHS requirements, and contractual obligations • Participate in trainings, committees, workgroups, huddles, and other departmental projects • Travel and conduct work in members’ home communities and other locations

🎯 Exigences

• Master’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area • North Carolina Qualified Professional qualification with the population served under 10A NCAC 27G .0104 • Valid licensure required: RN, LCSW, LCSWA, LCMHC, LCMHCA, LCMHCS, LPA, HSP-PA, LCAS, LCASA, LMFT, or LMFTA • 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 LTSS and/or HCBS coordination, care delivery monitoring, or care management experience; may be concurrent with behavioral health, I/DD, or TBI experience • For master’s degree holders in nursing: four years of full-time accumulated mental health experience with the population served; experience may be before or after RN licensure • Ability to complete and maintain all required Vaya trainings and proficiencies • Ability to perform clinical assessments using higher-level clinical training and licensure • Extensive understanding of the current Diagnostic and Statistical Manual of Mental Disorders within scope • Considerable knowledge of the MH/SU/IDD/TBI service array • Intermediate to advanced proficiency in Microsoft Office products and Vaya systems, including care management platform, data analysis, and secondary research • Knowledge of NC Medicaid, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements preferred • Ability to drive and sit for extended periods, including in rural areas • Must reside in North Carolina or within 40 miles of the North Carolina border • Must live in or near the counties served to effectively deliver in-person member contacts • Ability to communicate clearly and effectively • Strong problem-solving, negotiation, arbitration, conflict-resolution, organizational, and interpersonal skills

🏖️ Avantages

• Exempt position; not eligible for overtime compensation • Required Vaya/Care Management trainings and maintained training proficiencies • Equal opportunity employer