Tailored Care Management Care Manager

The Care Manager is responsible for assuring the quality of service provided to team members, coordinating the day-to-day operations of the team, and recommending and implementing changes that would improve the delivery of services. The Care Manager works with a panel of high-risk patients, one-on-one, to develop and manage their individual care plans. S/he is accountable for coordinating
care in partnership with the care team and across the care continuum. This includes
consideration of social risk and other issues.

TASKS & RESPONSIBILITIES
• Management of beneficiary needs during transitions of care.
• Management of rare diseases and high-cost procedures.
• Consult with identified professionals, family members, and others, include their input in the Person-Centered Planning process, inform all involved stakeholders, and monitor the status of the consumer relationships in relation to treatment goals.
• High-risk care
• Chronic care management
• Management of high-risk social environments
• Identification of beneficiaries in need of care management
• Development of care management assessments/care plans
• Development and deployment of prevention and population health programs
• Coordination of services
• Documentation and documentation management/monitoring
• Fully participates in agency outcome evaluation system. Ensures the collection of required data
• Care delivery monitoring
• Coordinates and participates in clinical case conferences, when needed.
• Adheres to the Professional Code of Ethics and complies with the State of North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse.
• Coach staff in working with consumers and provide training to other employees by demonstration, repetition, modeling, large group training, etc.
• Responsible for the development, implementation, monitoring, and revision of the Person-Centered Plan (PCP) as it relates to the needs of the individual
• Assist with the coordination of new admissions and transfers (e.g.) screening applicants and facilitating placement, etc.
• Assist in audits if needed
• Other duties as assigned

KNOWLEDGE, SKILL & ABILITY
• Ability to support the mission, vision, and values of the company and abide by applicable standards of conduct, policies, and procedures.
• Ability to interact effectively with people from diverse backgrounds.
• Ability to communicate effectively, verbally, and in writing.
• Ability to problem-solve issues.
• Expertise in working with individuals who have chronic mental illness and/or co-occurring mental illness and substance abuse disorders
•Knowledge of and ability to implement the empowerment model
•Leadership skills that result in a positive work environment for staff and members
•Ability to work as part of a comprehensive community mental health team and to represent the facility in the community.
• Must be honest, dependable, and able to meet deadlines.
• Must be organized and able to handle multiple tasks.
• Self-motivated and able to work independently.

EDUCATION & REQUIREMENTS
• A bachelor’s degree is required in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area, or licensure as a registered nurse (RN).
• At least 18 years of age
• Graduated from a four-year college or university
• Able to read, write, understand, and follow directions
• No substantiated findings of abuse or neglect listed on the North Carolina Health Care Personnel Registry
•Knowledge of Client Rights
•Ability to handle crisis/emergency situations, and utilize conflict resolution skills
•Knowledge of basic computer and applications including Microsoft Word

EXPERIENCE
• Two years of experience working directly with individuals with behavioral health conditions or with an I/DD or a TBI need.


REPORTS TO
Supervising Care Manager