Care Manager

Job not on LinkedIn

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $54k - $70.2k / 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 • Conduct comprehensive Health Risk Assessments covering behavioral, developmental, medical, social, and resource needs • Administer PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other screenings within scope • Develop, update, and monitor person-centered care plans and crisis plans • Link members with formal and informal services and supports across health domains • Coordinate interdisciplinary care team meetings with members, caregivers, providers, RN, pharmacists, and other stakeholders • Support transitional care management and diversion from institutional placement • Provide crisis intervention, education, self-management strategies, referrals, and follow-up • Review provider assessments and consult with clinical staff • Monitor service provision, member health and safety, critical incidents, eligibility, and care gaps • Manage and facilitate high-risk team meetings with DSS, DJJ, CCNC, schools, and community stakeholders • Document care management activities accurately and maintain AHR compliance • Collaborate with Vaya departments and community partners to identify and address system barriers • Participate in multidisciplinary huddles, complex case staffing, trainings, projects, and other assigned duties

🎯 Requirements

• Bachelor’s degree required, preferably in health, psychology, sociology, social work, nursing, or another relevant human services area • Two years of experience working directly with individuals with behavioral health conditions • Two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience • North Carolina Qualified Professional status with the population served under 10A NCAC 27G .0104 • If Bachelor’s degree in nursing and RN, must be licensed by the North Carolina Board of Nursing to practice in North Carolina • Must maintain residency in North Carolina or within 40 miles of the North Carolina border • Ability to drive and sit for extended periods, including in rural areas • Intermediate to advanced proficiency in Microsoft Office products and Vaya systems • Knowledge of the DSM and MH/SU/IDD/TBI service array • Ability to complete and maintain required Vaya trainings and proficiencies • Ability to communicate clearly and effectively • Effective interpersonal, organizational, problem-solving, negotiation, arbitration, and conflict-resolution skills • Ability to make prompt independent decisions and adapt to changing priorities • Preferred experience working directly with individuals with I/DD or TBI • Experience and knowledge of NC Medicaid programs, Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements preferred

🏖️ Benefits

• Eligible for overtime compensation • Mobile work position with work done in a variety of locations • Equal opportunity employer