Care Manager

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 11%

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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 • Collaborate with primary care providers, members, guardians, caregivers, family members, care management team members, and community partners • Provide effective care management services to enrolled populations • 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 • Apply trauma-informed care, motivational interviewing, strengths-based, and solution-focused techniques • Utilize hospital/data or electronic medical record systems as needed • Facilitate referrals to appropriate community-based services and agencies • Refer matters outside the Care Manager’s scope or expertise to appropriate clinical team members • Coordinate services as a liaison among members, families, guardians, providers, specialists, community services, and care team members • Maintain collaborative relationships with community provider agencies • Maintain member documentation in the Care Management documentation platform • Meet monthly productivity and role expectations • Follow CCNC policies, goals, standards, objectives, privacy and security policies, and HIPAA regulations • Attend departmental and corporate meetings, training, and other required events • Travel using a personal vehicle within the region and/or 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 • Registered Nurse (RN): Meets licensure or educational eligibility requirements as determined by The Commission for Case Management Certification • Registered Nurse (RN): Access to Hospital/Data or Electronic Medical Record system as necessary • Registered Nurse (RN): Maintain a valid driver’s license with current auto liability insurance • 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) • Social Worker: Meets licensure or educational eligibility requirements as determined by The Commission for Case Management Certification • Social Worker: Access to Hospital/Data or Electronic Medical Record system as necessary • Social Worker: Maintain a valid driver’s license with current auto liability insurance • Computer skills, including various office software and the internet • Excellent oral and written communication skills • Knowledge of government, private sector, and community resources • Knowledge of case management principles • Knowledge of and compliance with applicable federal and state regulations • Strong organizational and time management skills • Skills in establishing rapport and assessing comprehensive health care needs • Critical thinking, effective clinical judgment, independent decision-making, and problem-solving abilities • Ability to work independently and as part of a multidisciplinary team • Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices • Ability to lift/carry up to 25 pounds

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