Too often, health care is a source of frustration instead of a path to healing.
The system can be inefficient, costly and difficult to navigate.
At CCNC, we are changing the health care experience by changing the way health care is delivered.
We strongly believe that the best system is rooted in the communities it serves.
We know that efforts directed by doctors and focused on local patients make quality care more efficient and cost-effective.
Through our public-private partnership, we have united regional networks of physicians, nurses, pharmacists, hospitals, health departments, social service agencies and other community organizations.
These professionals work together to provide cooperative, coordinated care through the Medical Home model.
This approach matches each patient with a primary care physician who leads a health care team that addresses the patient’s health needs.
In NC, physician-driven, patient-centered care benefits more than 6,000 providers, 1.6 million patients and 9 million taxpayers.

Community Care of North Carolina

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manager

Too often, health care is a source of frustration instead of a path to healing. The system can be inefficient, costly and difficult to navigate.

At CCNC, we are changing the health care experience by changing the way health care is delivered. We strongly believe that the best system is rooted in the communities it serves. We know that efforts directed by doctors and focused on local patients make quality care more efficient and cost-effective.

Through our public-private partnership, we have united regional networks of physicians, nurses, pharmacists, hospitals, health departments, social service agencies and other community organizations. These professionals work together to provide cooperative, coordinated care through the Medical Home model. This approach matches each patient with a primary care physician who leads a health care team that addresses the patient’s health needs. In NC, physician-driven, patient-centered care benefits more than 6,000 providers, 1.6 million patients and 9 million taxpayers.

• Provide integrated whole-person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
• Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care
• Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care
• Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management
• Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families
• Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable
• Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness
• Utilize Hospital/Data or Electronic Medical Record system as available
• Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies
• Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise
• Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes
• Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization
• Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication
• Respect the member’s values, experience, and help to empower members to be an advocate for their own care
• Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures
• Meet monthly productivity and role expectations
• Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives
• Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded
• Perform all other duties as requested
• Attend departmental and corporate meetings, local and regional trainings, or other events as required
• Travel using personal vehicle will be required within the assigned area, region and/or the State

Care Manager 1 – Non Clinical

Care Manager providing statewide care management to support Medicaid enrolled members in North Carolina. Collaborating with healthcare professionals to promote quality care outcomes.

• Provide integrated whole-person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
• Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care.
• Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care.
• Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management.
• Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families.
• Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable.
• Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness.
• Utilize Hospital/Data or Electronic Medical Record system as available.
• Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies.
• Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise.
• Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes.
• Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization.
• Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication.
• Respect the member’s values, experience, and help to empower members to be an advocate for their own care.
• Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures.
• Meet monthly productivity and role expectations.
• Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives.
• Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded.

Care Manager providing integrated whole-person management to Medicaid enrolled members in North Carolina. Responsibilities include assessments, education, and collaboration with health care teams.

• Provide integrated whole-person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs
• Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care
• Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care
• Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management
• Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families
• Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable
• Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness
• Utilize Hospital/Data or Electronic Medical Record system as available
• Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies
• Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise
• Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes
• Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization
• Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication
• Respect the member’s values, experience, and help to empower members to be an advocate for their own care
• Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures
• Meet monthly productivity and role expectations
• Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives
• Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded
• Perform all other duties as requested
• Attend departmental and corporate meetings, local and regional trainings, or other events as required
• Travel using personal vehicle will be required within the assigned area, region and/or the State

Care Manager providing integrated services to Medicaid enrolled members in North Carolina. Role involves assessments, coordination, and collaboration with healthcare providers and community agencies.

medical-director

• Lead and oversee healthcare organization’s clinical operations and ensure delivery of high-quality patient care within the Company’s value-based care model ACO programs.
• Chair the Physician Advisory Board and work with management in recommending medical policies and patient care policies.
• Serve as a member of the senior leadership team ensuring clinical operations align with strategic goals and business objectives.
• Provide clinical leadership and oversight to ensure the delivery of excellent clinical services.
• Manage direct medical care for a specified patient population within a primary care / family medicine environment.
• Develop and amend medical policies and ensure adherence to regulatory compliance protocols.
• Provide oversight of quality of care initiatives under a value-based reimbursement model.
• Manage quality metrics and work closely with the Quality Director and department.
• Participate in health promotion, education, and/or prevention programs.

Medical Director – Primary Care Physician

Medical Director leading clinical operations and ensuring quality patient care within a value-based care model. Collaborating with senior leadership and chairing the Physician Advisory Board.

Too often, health care is a source of frustration instead of a path to healing. The system can be inefficient, costly and difficult to navigate. At CCNC, we are changing the health care experience by changing the way health care is delivered. We strongly believe that the best system is rooted in the communities it serves. We know that efforts directed by doctors and focused on local patients make quality care more efficient and cost-effective. Through our public-private partnership, we have united regional networks of physicians, nurses, pharmacists, hospitals, health departments, social service agencies and other community organizations. These professionals work together to provide cooperative, coordinated care through the Medical Home model. This approach matches each patient with a primary care physician who leads a health care team that addresses the patient’s health needs. In NC, physician-driven, patient-centered care benefits more than 6,000 providers, 1.6 million patients and 9 million taxpayers.

Community Care of North Carolina

About the company

Open jobs

4 jobs found

Care Manager 1 – Non Clinical

Community Care of North Carolina

Care Manager 1 – Non Clinical

Community Care of North Carolina

Care Manager 1 – Non Clinical

Community Care of North Carolina

Medical Director – Primary Care Physician

Community Care of North Carolina