Job Description

Care Manager

Healthcare Client

Duration: Through end of year - potential to extend and/or convert FTE

100% Remote - MUST Reside in the state of North Carolina

Top Requirements:

• 3+ years experience in one of the following: Previous RN, Fully Licensed Human Services Certifications / Experience in the areas of: Human Services/Social Work/Adult Services/Substance abuse resource centers/etc.
• 3+ years within this field of Care Management.
• Good Phone presence
• Strong Organizational Skills

Job Summary:

Intellectual/Developmental Disability (I/DD) Care Manager-1915i is responsible for providing complex care coordination and monitoring to members having a primary Intellectual or Developmental Disability, which may include a secondary mental health or substance abuse, and/or complex medical/physical health need. This position requires a dynamic, proactive approach to assessment, monitoring and complex coordination of care, to ensure quality support and consistent adherence to various waiver, Medicaid, and State Funded requirements.

Job Responsibilities:

• The I/DD Care Manager-1915i is responsible for (though not limited to) the following: Assessment and Planning:
• Utilizes person centered planning methods/strategies to gather information, to get to know the members supported and to adequately address specific needs of the individual.
• Provides education and support to members in learning about and exercising rights and responsibilities.
• Scheduling and completion of Care Plan or Individual Support Plan.
• Consistently completes Discovery activities (information gathering and assessment) as a component of the planning process.
• Assists members/legally responsible persons in choosing service providers, ensuring objectivity in the process.
• Assists the member supported to direct the planning process/plan development, to the extent desired by the member.
• Facilitates timely development of the Individual Support Plan/Care Plan, Crisis Plan and other assessments as needed.
• Updates the member’s Individual Support Plan/Care Plan to include 1915i services and supports.
• Adheres and follows step-actions, or workflows provided to complete 1915i assessments.
• Ensures annual plans and initial plans occur based on caseloads or updated if member’s circumstances changes.
• Ensures member’s needs and desired life goals as well as the physical, behavioral health, and social determinant needs, service delivery and health safety needs are captured in the Initial and/or annual individual support plan/Care Plan.

• Collaborates with integrated care team members, including but not limited to Specialty Care team and Neighborhood Connections Department to provide integrated care.
• Ensures plans are error free, and represents the members based on their support needs.
• Ensure plans are aligned with the member’s birth month based on 1915i requirements.
• Ensures timely documentation occurs within software platform based on documentation requirements.

Knowledge, Skills and Abilities:

A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. This will require exceptional interpersonal and reflective listening/engagement skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts. Problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external stakeholders

I/DD Care Manager must exhibit considerable knowledge of the I/DD service array, Medicaid, State, In Lieu of Service benefits, and other funding sources, inclusive of evidence based practices, provided through the network of our client.

Resources providers. Additional knowledge in the Medicaid 1915 (c)(1) waivers.

The employee must be detail oriented, able to organize multiple tasks and priorities, and to effectively manage projects from start to finish. Work activities quickly change according to mandated changes, modified priorities within the department, and changes associated with the individual’s needs. The employee must be able to adjust the focus of his/her activities to meet changing priorities.

Proficiency in Microsoft products (such as Word, Excel, Outlook, PowerPoint, etc.) is required. The employee will need to build on or adapt computer skills as technology changes to efficiently and effectively perform job duties.

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