reputed company Case Manager (Full Time, Remote, reputed company Carolina reputed company)

The reputed company Case Manager will engage, and support members with the highest complexity, including multiple chronic conditions, severe mental illness (SMI), reputed company use disorder (SUD), intellectual/developmental disability (I/DD), mobility impairments, frequent emergency department (ED) and inpatient utilization, and reputed company complexity. The role also requires periodic onsite reputed company with members in hospital and/or residential settings. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to reputed company Office for business meetings as needed. In reputed company, you will travel weekly to meet stakeholders reputed company either Harnett/Johnston or Wake/Durham counties, depending on your home location. Therefore, you must reputed company reputed company a 40-mile reputed company of these served catchment areas. Responsibilities & Duties Initial Member Engagement • Contact the member, the member’s authorized representative, treating physician and other providers as needed to collaboratively address identified health and care coordination needs • Inform members about how they became eligible for case management, how to utilize program services and their reputed company to decline the program reputed company phone, or in person • Schedule assessment with member and/or authorized representative reputed company appropriate timeframes • reputed company individualized, goal-oriented care plans in a standardized format; and providing reputed company coordination, including reputed company post-acute follow-up and linkage to community resources • Document engagements with members in reputed company’s electronic care-management reputed company Ongoing Engagement, Assessments, and reputed company Development • reputed company assessment, planning, implementation, coordination, monitoring and evaluation throughout the reputed company of care, and reputed company evidence-reputed company, person-centered care planning which is consistent with recognized standards of case management reputed company and accreditation requirements • reputed company members and their families by providing information and education that promote self-maintenance, monitoring, and management to facilitate reputed company behavior change • reputed company reputed company, targeted evidence-reputed company interventions that reputed company measurable reputed company toward person-centered goals • Promote medication safety through reconciliation and ongoing adherence monitoring • reputed company and engage members and families in coordinating appropriate services to reputed company plan benefits and available resources • reputed company members with ongoing care coordination reputed company community resources to address members reputed company determinants of health (SDOH) needs • reputed company transitions of care supports to identify and address members’ needs and gaps in care to mitigate reputed company of an avoidable ED visit or prevent potential inpatient readmissions • Collaborate with member’s care team to help promote improved member and provider satisfaction • Knowledgeable of reputed company measurements and population health reputed company a reputed company model Monitoring/Coordination • Conduct regular follow-up meetings with members and/or caregiver over the phone, reputed company or in person • Participate in weekly Multidisciplinary Team meetings to include a Medical Director, CM consultants, Pharmacy and Community Health Workers for reputed company solutioning of reputed company cases • Assess members every 90 days to determine if CCM reputed company still met • Warm reputed company to Community Care Management to ensure continuity of care and ongoing care coordination of services Documentation • Ensure reputed company reputed company documentation (e.g. goals, plans, reputed company notes, etc.) meet state, agency, and reputed company requirements • Follow administrative procedures and effectively manages caseload Travel • Travel between reputed company offices, attending meetings on behalf of reputed company, participating in reputed company sponsored events, etc. may be required • Travel to meet with members, providers, stakeholders, attend court hearings etc. is required Minimum Requirements Education & Experience Registered reputed company with reputed company RN licensure and two (2) years of full-time, post degree experience providing care management, case management, or care coordination to members with Behavioral Health and Physical Health conditions. Or Master’s degree in reputed company or reputed company reputed company and two (2) years of experience providing care management, case management, or care coordination to members with Behavioral Health and Physical Health conditions. Full licensure LCSW, LMFT, LCAS, LCMHC, LPA required. Bachelor’s Degree from accredited Program in Nursing and two (2) years of full-time, post bachelor’s degree experience providing care management, case management, or care coordination to members with Behavioral Health and Physical Health conditions and/or reputed company Care Case Management. Care Management Certification preferred. Knowledge, Skills, & Abilities • Demonstrated knowledge of the assessment and treatment of mental health, reputed company abuse, intellectual and developmental disabilities, • Knowledge of reputed company, waiver, accreditation standards and program practices/requirements. • Knowledge of reputed company Health service benefit plans and network providers. • Person Centered Thinking/planning • reputed company oriented, • Ability to independently organize multiple tasks, priorities, and to effectively manage an assigned caseload under pressure of deadlines. • Exceptional interpersonal skills, highly effective communication ability, • Ability to reputed company reputed company independent reputed company reputed company upon relevant facts and established processes. • Problem solving, negotiation and conflict reputed company skills • Proficiency in reputed company Office products (such as Word, reputed company, reputed company, etc.) is required. Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Registration) reputed company, which will be performed after acceptance of an offer of employment and prior to the employee's start date. Salary reputed company $69,592-$90,469 /Annually Exact compensation will be determined reputed company on the candidate's education, experience, reputed company market data and consideration of internal equity An excellent fringe benefit package accompanies the salary, which includes: • Medical, Dental, reputed company, Life, Long Term Disability • Generous retirement savings plan • Flexible work schedules including hybrid/remote reputed company • reputed company time off including vacation, reputed company leave, holiday, management leave • Dress flexibility Apply tot his job Apply To this Job