Care Manager

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Evaluate, plan, implement, coordinate, monitor, and assess options and services to enhance quality, cost-effective health outcomes.

• Collaborate with primary care providers, members, guardians, caregivers, family members, care management team members, and community partners.

• Deliver effective care management services to enrolled populations.

• Conduct thorough medical, biopsychosocial, behavioral, spiritual, and cultural assessments of members.

• Identify and address behavioral, social, cultural, and environmental strengths and obstacles.

• Educate members and families regarding diagnoses, medications, resources, prevention, and risk factors.

• Establish patient-centered SMART goals and evaluate the quality and effectiveness of interventions.

• Create, review, implement, and assess member care plans.

• Apply trauma-informed care, motivational interviewing, strengths-based, and solution-focused approaches.

• Utilize hospital/data or electronic medical record systems as necessary.

• Facilitate referrals to suitable community-based services and agencies.

• Refer issues outside the Care Manager’s expertise to the appropriate clinical team members.

• Coordinate services as a liaison among members, families, guardians, providers, specialists, community services, and care team members.

• Maintain collaborative relationships with community provider agencies.

• Keep member documentation updated in the Care Management documentation platform.

• Meet monthly productivity and performance expectations.

• Adhere to CCNC policies, goals, standards, objectives, privacy and security policies, and HIPAA regulations.

• Attend departmental and corporate meetings, training sessions, and other mandatory events.

• Travel using a personal vehicle within the region and/or state.

• Perform additional duties as requested.

⛳️ Requirements

• Registered Nurse (RN): Graduation from an accredited nursing program.

• Registered Nurse (RN): Active, unrestricted RN license to practice in North Carolina.

• Registered Nurse (RN): Minimum of 2 years of nursing experience.

• Registered Nurse (RN): Meets the licensure or educational eligibility criteria as determined by The Commission for Case Management Certification.

• Registered Nurse (RN): Access to Hospital/Data or Electronic Medical Record systems as required.

• Registered Nurse (RN): Must maintain a valid driver’s license with current auto liability insurance.

• Social Worker: Master’s degree from an accredited school of social work.

• Social Worker: Minimum of 2 years of social work experience.

• Social Worker: Active NC license as a Licensed Clinical Social Worker (LCSW).

• Social Worker: Meets the licensure or educational eligibility criteria as determined by The Commission for Case Management Certification.

• Social Worker: Access to Hospital/Data or Electronic Medical Record systems as required.

• Social Worker: Must maintain a valid driver’s license with current auto liability insurance.

• Proficient in computer skills, including various office software and internet usage.

• Excellent verbal and written communication abilities.

• Familiarity with government, private sector, and community resources.

• Understanding of case management principles.

• Knowledge of and compliance with relevant federal and state regulations.

• Strong organizational and time management capabilities.

• Skills in building rapport and assessing comprehensive health care needs.

• Critical thinking, effective clinical judgment, independent decision-making, and problem-solving skills.

• Ability to work autonomously and as part of a multidisciplinary team.

• Must be capable of utilizing office equipment, computer, keyboard, and phone with or without assistive devices.

• Ability to lift/carry up to 25 pounds.

🏝️ Benefits

• Comprehensive health insurance options.

• Retirement savings plan with employer matching.

• Paid time off and holidays.

• Professional development and training opportunities.

• Supportive work environment with a focus on teamwork.