
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.
🕒 il y a 3 jours
🌲 North Carolina – Distant
💵 $54 007 - $70 209 / an
⏰ Temps Plein
🟢 Junior
🟡 Intermédiaire
👔 Manager
👻 Score fantôme 1%
🗣️🇺🇸🇬🇧 Anglais requis
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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.
• Provide proactive intervention and coordination of care to eligible Vaya Health members and recipients • Conduct comprehensive Health Risk Assessments covering behavioral, physical, developmental, social, and resource needs • Develop and update person-centered care plans with members and interdisciplinary care teams • Link members with appropriate services and supports across medical, behavioral health, I/DD, TBI, pharmacy, LTSS, and social-resource networks • Administer PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other screenings within scope • Provide education, self-management strategies, referrals, and therapeutic-support linkages • Review and document medication information in Vaya’s Care Management platform • Participate in interdisciplinary care team meetings, multidisciplinary huddles, case staffings, and high-risk team meetings • Provide crisis intervention, coordination, transitional care management, and diversion support • Coordinate transitions between levels of care and help prevent institutional placement or rehospitalization • Monitor service delivery, conduct announced and unannounced visits, and identify provider non-compliance • Ensure member health and safety, report critical incidents, and escalate concerns • Verify Medicaid eligibility and coordinate related changes or deductibles • Create and maintain accurate care-management documentation and Service Authorization Requests • Collaborate with providers, Vaya departments, community stakeholders, members, families, caregivers, and natural supports • Participate in required training and perform other duties as assigned
• 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 Community Based Services coordination, care delivery monitoring, and care management experience • Must meet the criteria of being a North Carolina Qualified Professional with the population served under 10A NCAC 27G .0104 • If Bachelor’s degree is in a field other than Human Services, four years of full-time accumulated experience with the population served • If Bachelor’s degree is in Nursing and incumbent is 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 • If Bachelor’s degree in Nursing and RN, must be licensed by the North Carolina Board of Nursing to practice in North Carolina • Proficiency with Microsoft Office products, Vaya systems, care management platform, data analysis, and secondary research • Knowledge of the Diagnostic and Statistical Manual of Mental Disorders (current version) • Knowledge of MH/SU/IDD/TBI service arrays • Ability to express ideas clearly and communicate effectively • Ability to drive and sit for extended periods, including in rural areas • Ability to complete and maintain required Vaya trainings and proficiencies • Required residency in North Carolina or within 40 miles of the North Carolina border • Required to live in or near Polk, Rutherford, or Cleveland County to effectively deliver in-person contacts • Must be able to travel
• Eligible for overtime compensation • Non-exempt position • Mobile/remote work arrangement • Equal opportunity employer
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