Care Manager

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

📋 Description

• Evaluate, plan, implement, coordinate, monitor, and assess healthcare options and services.

• Deliver effective care management services to enrolled populations.

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

• Identify strengths and barriers relating to behavioral, social, cultural, and environmental factors.

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

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

• Create, review, implement, and evaluate member care plans in collaboration with members, families, providers, and care teams.

• Utilize trauma-informed care, motivational interviewing, strengths-based, and solution-focused methods.

• Coordinate referrals to community-based services and agencies.

• Direct matters beyond the Care Manager’s expertise to the appropriate clinical team members.

• Collaborate with multidisciplinary teams and community provider agencies to achieve treatment outcomes.

• Ensure coordination of services among members, families, guardians, providers, specialists, and care teams to avoid duplication.

• Maintain member documentation in the Care Management platform.

• Achieve monthly productivity and role expectations.

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

• Participate in departmental and corporate meetings, training, and required events.

• Travel within assigned regions and/or throughout North Carolina.

⛳️ Requirements

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

• Registered Nurse (RN): active and unrestricted RN license to practice in North Carolina.

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

• Registered Nurse (RN): CCM certification is preferred; certification must be obtained within one year of eligibility according to CCM requirements.

• Registered Nurse (RN): must meet licensure or educational eligibility criteria set by The Commission for Case Management Certification.

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

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

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

• Social Worker: CCM certification is preferred; certification must be obtained within one year of eligibility according to CCM requirements.

• Social Worker: must meet licensure or educational eligibility criteria set by The Commission for Case Management Certification.

• Access to hospital/data or electronic medical record systems as required.

• Valid driver’s license with current auto liability insurance.

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

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

• Understanding of case management principles and relevant federal and state regulations.

• Strong organizational and time management abilities.

• Capable of critical thinking, effective clinical judgment, independent decision-making, and problem-solving.

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

• Exceptional oral and written communication skills; bilingualism is preferred.

• Sensitivity to cultural diversity, language barriers, health literacy, and various educational levels.

🏝️ Benefits

• Opportunity for remote work within assigned regions.

• Travel using personal vehicle is required within the region and/or State.

• Professional development opportunities through local and regional training.

• Participation in departmental and corporate meetings and events.