Manager managing a portfolio of MVLs and delivering advisory work for Interpath's Corporate Simplification team. Hybrid work combining home and office at external locations in the UK.
About the role
- Care Manager I coordinating integrated whole-person care management at Alliance Health, focusing on members with special health care needs. Involves assessments and collaboration with community systems.
Responsibilities
- Complete comprehensive assessments or Care Needs Screening at enrollment, yearly or at changes in condition.
- Develop Plans of Care derived from the completed assessments
- Demonstrate commitment to whole person/integrated care
- Assign interventions/plans of care to applicable Alliance Care Management team member to meet identified member needs, for monitoring, and/or service engagement activities
- Submit referrals to the Transition Coordinator when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
- Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues
- Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process
- Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification
- Utilize person centered planning, motivational interviewing, and historical review of assessments in Jiva to gather information and to identify supports needed for the individual
- Assist in collecting data to be used to identify and address barriers as well as determine the effectiveness of care management/care coordination in reducing lengths of stay and use of emergency services
- Actively collaborate with members/legally responsible person, care team, service providers, and identified supports to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
- Submit required documentation to UM to ensure timely delivery of services and trouble shoot until authorization is obtained.
Requirements
- Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of post-bachelor’s degree mh/dd/sa experience with the population served
- Or Bachelor’s degree from an accredited college or university in Non-Human Services field and four (4) years of post-bachelor’s degree mh/dd/sa experience with the population served
- Or Master’s Degree from an accredited college or university in Human Services field and one (1) year of post graduate degree mh/dd/sa experience with the population served
- Or Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT
- Or Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of mh/dd/sa experience with the population served
- Preferred: NACCM, NADD-Specialist and/or CBIS Certification
- Knowledge, Skills, & Abilities: Person Centered Thinking/planning
- Knowledge of using assessments to develop plans of care
- Knowledge of Diagnostic and Statistical Manual of Mental Disorders
- Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
- Knowledge of Medicaid Tailored Plan, Medicaid Direct, enhanced MHSUD, and waiver benefits plans
- Knowledge of and skilled in the use of Motivational Interviewing
- Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
- Strong interpersonal and written/verbal communication skills essential, including Conflict management and resolution skills
- High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Benefits
- Medical, Dental, Vision, Life, Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
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