Care Manager

🕒 January 15

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $54k - $70.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Vaya Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1972

⚕️ Healthcare Insurance

🌍 Social Impact

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.

📋 Description

• The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. • The Care Manager 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 across the MH, SU, intellectual/ developmental disability (“I/DD”), traumatic brain injury (“TBI”) physical health, pharmacy, long-term services and supports (“LTSS”) and unmet health-related resource needs networks. • Care Managers support and may provide transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings to ensure they follow up with aftercare services and receive needed assistance to prevent further hospitalization. • This is a mobile position with work done in a variety of locations, including members’ home communities. • The Care Manager also works with other Vaya staff, members, relatives, caregivers/ natural supports, providers, and community stakeholders.

🎯 Requirements

• Bachelor’s degree required, preferably in a field related to health, psychology, sociology, social work, nursing or another relevant human services area. • Two (2) years of experience working directly with individuals with BH conditions • Two (2) years of prior Long-term Services and Supports (LTSS) and/or Home Community Based Services (HCBS) 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 in mental health 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 in mental health 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 in mental health 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 in mental health with the population served • Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104 • Licensure/Certification Required: If Incumbent has a Bachelor’s degree in nursing and RN, incumbent must be licensed by the North Carolina Board of Nursing to practice in the State of North Carolina. • Preferred work experience: Experience working directly with individuals with I/DD or TBI

🏖️ Benefits

• This position is non-exempt and is eligible for overtime compensation