Care Manager

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Community Care of North Carolina

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Community Care of North Carolina is committed to improving the health of its communities by transforming the healthcare experience. The organization addresses the inefficiencies and frustrations often associated with healthcare delivery by uniting regional networks of healthcare professionals, including doctors, nurses, and social service agencies. Through a public-private partnership, they implement a Medical Home model that emphasizes cooperative, coordinated care tailored to individual patients, benefiting millions in North Carolina.

📋 Description

• Assess, plan, implement, coordinate, monitor, and evaluate options and services to promote quality, cost-effective health outcomes • Provide effective Care Management services based on case management standards of practice • Complete comprehensive medical, biopsychosocial, behavioral, spiritual, and cultural member assessments • Identify and address behavioral, social, cultural, and environmental strengths and barriers • Educate members and families about diagnoses, medications, resources, prevention, and risk factors • Set patient-centered SMART goals and monitor intervention quality and effectiveness • Develop, review, implement, and evaluate member care plans with members, families, providers, and the Care Management team • Use trauma-informed care, motivational interviewing, strengths-based, and solution-focused techniques • Utilize Hospital/Data or Electronic Medical Record systems as available • Facilitate referrals to appropriate community-based services and agencies • Refer matters outside the Care Manager’s scope or expertise to appropriate clinical team members • Collaborate with multidisciplinary teams to achieve treatment outcomes • Maintain relationships with community provider agencies to promote quality and cost-effective care • Coordinate services among members, families, guardians, providers, specialists, community services, and care team members • Maintain member documentation in the Care Management documentation platform • Meet monthly productivity and role expectations • Adhere to CCNC policies, privacy and security policies, and HIPAA regulations • Attend departmental and corporate meetings, training, and required events • Travel within the assigned region and/or the State • Perform other duties as requested

🎯 Requirements

• Registered Nurse (RN): Graduation from an accredited school of nursing • Registered Nurse (RN): Active, unrestricted RN license to practice in North Carolina • Registered Nurse (RN): Minimum 2 years’ nursing experience • Social Worker: Master’s degree from an accredited school of social work • Social Worker: Minimum 2 years’ social work experience • Social Worker: Active NC license as a Licensed Clinical Social Worker (LCSW) • CCM certification preferred; will obtain within 1 year of eligibility per CCM requirements • Meets licensure or educational eligibility requirements as determined by The Commission for Case Management Certification • Access to Hospital/Data or Electronic Medical Record system will be required, as necessary • Maintain a valid driver’s license with current auto liability insurance • Computer skills required, including various office software and the internet • Knowledge of government, private sector, and community resources • Knowledge of Case Management principles • Knowledge of and compliance with federal and state regulations applicable to the position • Strong organizational and time management skills • Skills in establishing rapport with a member and assessing comprehensive health care needs • Critical thinking, effective clinical judgment, independent decision-making, and problem-solving abilities • Ability to work independently and as an integral part of a multi-disciplinary team • Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices • Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds

🏖️ Benefits

• Remote work within assigned regions • Travel using personal vehicle within the region and/or the State • Professional development through local and regional training • CCM certification support: will obtain within 1 year of eligibility per CCM requirements