Care Manager – LP

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $63k - $75k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 1%

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Vaya Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1972

🛡️ Insurance

💼 Consulting

📦 Logistics

Insurance • Consulting • Logistics

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.

📋 Description

• Provide proactive intervention and coordination of care to eligible Vaya Health members and recipients • Assess members’ behavioral, developmental, medical, social, pharmacy, LTSS, and unmet health-related resource needs • Identify and alleviate inappropriate levels of care and care gaps through assessment, multidisciplinary care planning, and service coordination • Conduct Health Risk Assessments and administer screenings including PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other needs-based screenings • Review and document current medications and maintain integrated medication lists in Vaya’s care management platform • Develop, update, and monitor person-centered care plans and crisis plans • Link members with formal and informal services and supports across health domains • Provide education, self-management strategies, crisis intervention, clinical consultation, and recommendations for appropriate care • Review provider clinical assessments for accuracy and completeness; consult with providers on complex clinical needs • Facilitate interdisciplinary care team, high-risk team, complex case staffing, and care planning meetings • Support transitional care management, discharge follow-up, and diversion from institutional placement • Collaborate with RNs, pharmacists, physicians, providers, families, caregivers, DSS, DJJ, CCNC, schools, and community stakeholders • Monitor service provision, member health and safety, critical incidents, quality, eligibility, and care management outcomes • Maintain accurate, timely, and compliant documentation in the administrative health record • Participate in trainings, committees, workgroups, multidisciplinary huddles, and other departmental projects • Perform other duties as assigned

🎯 Requirements

• Master’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area • 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 prior Long-Term Services and Supports and/or Home and Community Based Services coordination, care delivery monitoring, and care management experience • For master’s degree holders in nursing: four years of full-time accumulated experience in mental health with the population served • Must meet the criteria of being a North Carolina Qualified Professional with the population served under 10A NCAC 27G .0104 • Valid licensure required; acceptable licenses include RN, LCSW, LCSWA, LCMHC, LCMHCA, LCMHCS, LPA, HSP-PA, LCAS, LCASA, LMFT, or LMFTA • Experience working directly with individuals with I/DD or TBI preferred • Proficiency with Vaya’s Care Management software platform/administrative health record • Compliance with HIPAA and Authorization for Release of Information practices • Proficiency in Microsoft Office products, including Word, Excel, PowerPoint, Outlook, and Teams • Knowledge of the DSM current version within the candidate’s scope • Considerable knowledge of the MH/SU/IDD/TBI service array provided through Vaya’s provider network • Ability to complete and maintain all required Vaya trainings and proficiencies • Ability to drive and sit for extended periods, including in rural areas • Ability to perform clinical assessments and identify member needs • Strong problem-solving, negotiation, arbitration, conflict-resolution, organizational, and communication capabilities • Must reside in North Carolina or within 40 miles of the North Carolina border • Ability to travel and deliver in-person contacts with members and care teams

🏖️ Benefits

• Exempt position; not eligible for overtime compensation • Mobile position with work done in a variety of locations • Vaya Health equal opportunity employer