Innovations Care Manager

October 7

🌲 North Carolina – Remote

Although this job is listed in North Carolina, this company may be open to hiring remote in other states.

💵 $54k - $70.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Vaya Health

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Healthcare Insurance • Healthcare • Social Impact

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.

501 - 1000 employees

Founded 1972

⚕️ Healthcare Insurance

🌍 Social Impact

📋 Description

• Innovations Care Manager (Innovations CM) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients to ensure that these individuals receive appropriate assessment and services. • The Innovations CM works with the member and care team to alleviate inappropriate levels of care or care gaps through assessment, multidisciplinary team care planning, linkage and/or coordination of services needed by the member. • Innovations CMs support and may provide transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings. • Ensures identification, assessment, and appropriate person-centered care planning for members. • Links members with appropriate and necessary formal/ informal services and supports across all health domains (i.e., medical, and behavioral health home). • Meets with members to conduct Health Risk Assessments (HRA) and gather information on their overall health, including behavioral health, developmental, medical, and social needs. • Administer various screenings within their scope based on member’s needs. • Supports the care team in development of a person-centered care plan (“Care Plan”) to define what is important to members for their health and prioritize goals. • Reviews clinical assessments conducted by providers and partners for clinical consultation as needed. • Proactively ensures that individuals identified with treatment needs have a Behavioral Health Clinical Home and a Medical Home. • Provides crisis intervention, coordination, and care management as needed.

🎯 Requirements

• Bachelor’s degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services. • Serving members or recipients with an I/DD or Traumatic Brain Injury (TBI) • Two (2) years of experience working directly with individuals with I/DD or TBI • Serving members with LTSS needs • Minimum requirements defined above • Two (2) years of prior Long-tern Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience. • If graduate of a college or university with a Bachelor's degree in Human Services, then incumbent must have two years of full-time accumulated experience with population served • If graduate of a college or university with a Bachelor's degree is in field other than Human Services, then incumbent must have four years of full-time accumulated experience with population served • If a graduate of a college or university with a Bachelor’s Degree in Nursing and licensed as RN, then incumbent must have four years of full-time accumulated experience with population served. • Experience can be before or after obtaining RN licensure. • If graduate of a college or university with a Master’s level degree in Human Services, although only one year of experience is needed to reach QP status, the incumbent must still have at least two years of full-time accumulated experience with the population served • Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104