Manager I Care Management overseeing care managers for Medicaid-enrolled populations in North Carolina. Partnering with North Carolina DHHS for integrated health care services.
Responsibilities
Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities.
Review all Care Plans and ISPs for quality control and provide guidance to care managers on how to address Members’ complex health and social needs.
Ensure care managers provide Trauma-Informed Care and recognize the impact of ACEs on the CFSP population.
Coordinates service delivery to include member assessment of physical and psychological factors.
Participates in cross-functional workgroups created to maintain and develop program.
Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes.
Develops and conducts training programs for staff involved in the program.
Extracts and manipulates analytical data to present findings to relevant markets and stakeholders.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requirements
Requires an active and current license as an LCSW, LCMHC, LPA, LMFT, or RN issued by the state of North Carolina.
Requires a MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing.
Requires three (3) years of experience providing care management, case management, or care coordination to individuals served by the child welfare system.
Knowledge of resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, Behavioral Health, therapeutic, and physical health services.
Experience working with Children, Youth, and Families who are being served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs is very strongly preferred.
At least 2 years of management/supervisor experience (with direct reports) is needed for this position.
Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.
Benefits
$5,000 SIGN ON BONUS
merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources
Job title
Manager I Care Management – Healthy Blue Care Together CFSP
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