Job description

Support Incorporated is hiring Care Managers for our new program. We have recently finalized the readiness review process and are a Care Management Agency for the new Tailored Plans. Our agency will be providing care management services in Gaston, Cleveland, Lincoln, Catawba, and Mecklenburg Counties. This position has flexible hours and will be a mixture of on-site and remote.

Service Duties and Responsibilities:

• Complete Care Management Assessment at enrollment, yearly or at changes in condition.
• Develop Care Plans derived from the completed assessments
• Coordinate and facilitate Care Team Meetings to ensure successful implementation of the plan.
• Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
• Coordinate with other team members to ensure smooth transition to appropriate level of care.
• Update other Care Team members of urgent or pertinent treatment updates
• Schedule face to face meeting with member/LRP to provide education about care teams, services, needed supports, etc.
• Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
• Escalate complex cases and cases of concern to supervisor.
• Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
• Document all applicable member updates and activities per organizational procedure.
• Ensure that service orders/doctor’s orders are obtained, as applicable.
• Obtain releases/documentation and provide to all stakeholders involved.
• Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
• Demonstrate awareness and knowledge of and comply with all agency policies and procedures, as well as state and federal statutes and regulations related to care management.
• Meet at least minimum standards of monthly contacts and demonstrate ability to effectively engage with members.
• Care manager will coordinate the member’s health care and social services including behavioral health, LTSS and pharmacy services as well as other SDOH needs.
• Educate members in self-management of all aspects of their care, including education on their medication, services, as well as natural and community resources that are available to them
• Provide education and guidance on self-advocacy to the member, family members, and support members
• Connect members and caregivers to education and training to help the member improve function, develop socialization and adaptive skills, and navigate the service system
• Provide information and connections to needed services and supports including but not limited to self-help services, peer support services, and respite services utilizing partnerships with providers in the community as well as utilization of NCCARE 360 to make referrals, as needed.
• Promote wellness and prevention programs including ensuring annual wellness visits.
• Provide information on establishing advance directives, including psychiatric advance directives as appropriate, and guardianship options/alternatives, as appropriate; Connecting members and family members to resources that support maintaining employment, community integration, and success in school, as appropriate.
• Address, in the Care Plan, if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues.
• Assist individuals/legally responsible persons (LRP in choosing service providers, ensuring objectivity in the process.
• Utilize ADT feeds information to respond within hours/minutes as appropriate to support members who are admitted, transferred or discharged from a facility in a timely manner
• Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification.
• Utilize person centered planning, motivational interviewing and historical review of assessments to gather information and to identify supports needed for the individual.

Support, Inc. is a CABHA agency that has been CARF accredited since 2008 providing a continuum of Mental Health and Substance Use services for almost 20 years. Support, Inc. provides the full array of basic and enhanced benefit services with the exception of Level III and PRTF services.

Job Type: Full-time

Pay: $42,000.00 - $49,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift

Education:

• Bachelor's (Required)

Experience:

• Case Management: 3 years (Preferred)
• Child/Adolescent Mental Health: 2 years (Required)

Work Location: In person

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