health care manager

Vaya Health

<div><div><b>LOCATION:</b> Remote &ndash; must live in or near Alamance County, North Carolina. The person in this position is required to maintain residency in North Carolina or within 40 miles of the NC border. <i>This position requires travel</i>.</div><div></div><div><b><br>
GENERAL STATEMENT OF JOB</b></div><div>
The Care Manager Licensed Professional (&ldquo;Care Manager - LP&rdquo;) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (&ldquo;members&rdquo;) to ensure that these individuals receive appropriate assessment and services. The Care Manager - LP works with the member and care team to identify and alleviate inappropriate levels of care or care gaps through assessment, multidisciplinary team care planning, linkage and/or coordination of services needed by the member across the MH, SU, intellectual/ developmental disability (&ldquo;I/DD&rdquo;), traumatic brain injury (&ldquo;TBI&rdquo;) physical health, pharmacy, long-term services and supports (&ldquo;LTSS&rdquo;) and unmet health-related resource needs networks. Care Manager - LP supports and may provide clinical transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings to ensure they follow up with aftercare services and receive needed assistance to prevent further hospitalization. This is a mobile position with work done in a variety of locations, including members&rsquo; home communities. The Care Manager - LP also works with other Vaya staff, members, relatives, caregivers/ natural supports, providers, and community stakeholders. <b>The Care Manager - LP also utilizes licensed clinical knowledge and skills to assess needs, inform care planning development, provide clinical consultation, and offer recommendations for appropriate care.</b></div><div></div><div><br>
As further described below, essential job functions of the Care Manager - LP includes, but may not be limited to:</div><ul><li>
Utilization of and proficiency with Vaya&rsquo;s Care Management software platform/ administrative health record (&ldquo;AHR&rdquo;)</li><li>
Outreach and engagement</li><li>
Compliance with HIPAA (Health Insurance Portability and Accountability) requirements, including Authorization for Release of Information (&ldquo;ROI&rdquo;) practices</li><li>
Performing Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to care</li><li>
Adherence to Medication List and Continuity of Care processes</li><li>
Participation in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management</li><li>
Transitional Care Management</li><li>
Divers</li><li>
ion from institutional placement</li></ul><div></div><div><br>
This position is required to meet NC (North Carolina) Residency requirements as defined by the NC Department of Health and Human Services (&ldquo;NCDHHS&rdquo; or &ldquo;Department&rdquo;). This position is required to live in or near the counties served to effectively deliver in-person contacts with members and their care teams.</div><div></div><div><b><br>
ESSENTIAL JOB FUNCTIONS</b></div><div><b>
Clinical Assessment, Care Planning, and Interdisciplinary Care Team:</b></div><div><ul><li>
Ensures identification, assessment, and appropriate person-centered care planning for members.</li><li>
Links members with appropriate and necessary formal/ informal services and supports across all health domains (i.e., medical, and behavioral health home)</li><li>
Meets with members to conduct the HRA and gather information on their overall health, including behavioral health, developmental, medical, and social needs.</li><li>
Administers the PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other screenings based on member&rsquo;s needs. The Care Manager - LP uses these screenings to provide specific education and self-management strategies as well as linkage to appropriate therapeutic supports.<ul><li>
The assessment process includes reviewing and transcribing member&rsquo;s current medication and entering information into Vaya&rsquo;s Care Management platform, which triggers the creation of a multisource medication list that is shared back with prescribers to promote integrated care.</li></ul></li><li>
Supports the care team in development of a person-centered care plan (&ldquo;Care Plan&rdquo;) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their choice.<ul><li>
Ensure the Care Plan includes specific services to address mental health, substance use, medical and social needs as well as personal goals</li><li>
Ensure the Care Plan includes all elements required by NCDHHS</li><li>
Use information collected in the assessment process to learn about member's needs and assist in care planning</li><li>
Ensure members of the care team are involved in the assessment as indicated by the member/LRP and uses clinical skills to evaluate and incorporate other available clinical information into the assessment as necessary</li><li>
Work with members to identify barriers and help resolve dissatisfaction with services or community-based interventions</li></ul></li><li>
Uses clinical skills and expertise to review clinical assessments conducted by providers to ensure all areas of the member&rsquo;s needs are addressed. Care Manager - LP reviews for clinical accuracy and may provide consultation and technical support to providers as needed based on reviews.</li><li>
Interprets and analyzes clinical assessments to draw clinical conclusions to support care management activities.</li><li>
Engages with provider clinical staff to determine clinical appropriateness and course of action when assessments present a wide array of treatment options and members present with complex needs.</li><li>
Helps members refine and formulate treatment goals, identifying interventions, measurements, and barriers to the goals</li><li>
Ensures that member/legally responsible person (&ldquo;LRP&rdquo;) is/are informed of available services, referral processes (e.g., requirements for specific service), etc.</li><li>
Provides information to member/LRP regarding their choice of service providers, ensuring objectivity in the process</li><li>
Works in an integrated care team including, but not limited to, an RN and pharmacist along with the member to address needs and goals in the most effective way ensuring that member/LRP could decide who they want involved</li><li>
Supports and may facilitate care team meetings where member Care Plan is discussed and reviewed</li><li>
Solicits input from the care team and monitor progress</li><li>
Ensures that the assessment, Care Plan, and other relevant information is provided to the care team</li><li>
Reviews assessments conducted by providers and consult with clinical staff as needed to ensure all areas of the member&rsquo;s needs are addressed</li><li>
Provide clinical assessment in situations where the member&rsquo;s lack of clinical home or available network provider creates significant risk to member well-being (e.g., need for time sensitive placement/ discharge from inpatient setting)</li><li>
Updates Care Plans and Care Management assessment at a minimum of annually or when there is a significant life change for the member</li><li>
Supports and assists with education and referral to prevention and population health management programs.</li><li>
Works with the member/LRP and care team to ensure the development of a Care Management Crisis Plan for the member that is tailored to their needs and desires, which is separate and complementary to the behavioral health provider&rsquo;s crisis plan<ul><li>
Ensures the crisis plan includes problem definition, physical/cognitive limitations, health risks/concerns, medication alerts, baseline functioning, signs/symptoms of crisis (triggers), de-escalation techniques.</li><li>
Provides crisis intervention, coordination, and care management if needed while with members in the community.</li></ul></li><li>
Supports Transitional Care Management responsibilities for members transitioning between levels of care</li><li>
Coordinates Diversion efforts for members at risk of requiring care in an institutional setting</li><li>
Consults with care management licensed professionals, care management supervisors, and other colleagues as needed to support effective and appropriate member care.</li></ul></div><div></div><div><b><br>
Collaboration, Coordination, Documentation:</b></div><div><ul><li>
Utilizes advanced knowledge in their work which requires use of their advanced degree and licensure to be able to participate and initiate independent decisions with matters of significance and drive positive clinical outcomes for Vaya members.</li><li>
Executes independent discretion and engages in business decisions for the Vaya Care Management Department that support initiatives to promote Vaya&rsquo;s integrated, whole-person care model for members.</li><li>
Serves as a collaborative partner in identifying system barriers through work with community stakeholders.</li><li>
Manages and facilitates Child/Adult High-Risk Team meetings in collaboration with DSS, DJJ, CCNC, school systems, and other community stakeholders as appropriate.</li><li>
Works in partnership with other Vaya departments to identify and address gaps in services/ access to care within Vaya&rsquo;s catchment.</li><li>
Participates in cross-functional clinical and non-clinical meetings and other projects as needed/ requested to support the department and organization.</li><li>
Participates in routine multidisciplinary huddles including RN, Pharmacist, M.D. to present complex clinical case presentation and needs, providing support to other CMs (Care Manager) and receiving support and feedback regarding CM interventions for clients&rsquo; medical, behavioral health, intellectual /developmental disability, medication, and other needs.</li><li>
Participates in other high risk multidisciplinary complex case staffing as needed to include Vaya CMO/ Deputy CMO, Utilization Management, Provider Network, and Care Management leadership to address barriers, identify need for specialized services to meet client needs within or outside the current behavioral health system.</li><li>
Monitors provision of services to informally measure quality of care delivered by providers and identify potential non-compliance with standards.</li><li>
Ensures the health and safety of members receiving care management, recognize and report critical incidents, and escalate concerns about health and safety to care management leadership as needed.</li><li>
Supports problem-solving and goal-oriented partnership with member/LRP, providers, and other stakeholders.</li><li>
Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues.</li><li>
Supports and assists members/families on services and resources by using educational opportunities to present information.</li><li>
Verifies member&rsquo;s continuing eligibility for Medicaid, and proactively responds to a member&rsquo;s planned movement outside Vaya&rsquo;s catchment area to ensure changes in their Medicaid county of eligibility are addressed prior to any loss of service.</li><li>
Proactively and timely creates and monitors documentation within the AHR to ensure completeness, accuracy and follow through on care management tasks.</li><li>
Maintains electronic AHR compliance and quality according to Vaya policy.</li><li>
Ensures all clinical and non-clinical documentation (e.g. goals, plans, progress notes, etc.) meet all applicable federal, state, and Vaya requirements, including requirements within Vaya&rsquo;s contracts with NCDHHS.</li><li>
Participates in all required Vaya/ Care Management trainings and maintains all required training proficiencies.</li><li>
Participates in Vaya committees, workgroups, and other efforts that require clinical knowledge, as requested, and identified.</li></ul></div><div></div><div><b><br>
Other duties as assigned.</b></div><div></div><div><b><br>
KNOWLEDGE, SKILLS, &amp; ABILITIES</b></div><ul><li>
Ability to express ideas clearly/concisely and communicate in a highly effective manner</li><li>
Ability to drive and sit for extended periods of time (including in rural areas)</li><li>
Exceptional interpersonal skills and ability to represent Vaya in a professional manner</li><li>
Ability to initiate and build relationships with people in an open, friendly, and accepting manner</li><li>
Strong attention to detail and superior organizational skills</li><li>
Ability to make prompt independent decisions based upon relevant facts.</li><li>
Well-developed capabilities in problem solving, negotiation, arbitration, and conflict resolution, including a high level of diplomacy and discretion to effectively negotiate and resolve issues with minimal assistance.</li><li>
A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure</li><li>
Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change</li><li>
Thorough knowledge of standard office practices, procedures, equipment, and techniques and intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Outlook, Teams, etc.), and Vaya systems, to include the care management platform, data analysis, and secondary research</li><li>
Must be highly skilled at shifting between macro and micro level planning, maintaining both the big picture, and seeing that the details are covered.</li><li>
Ability to use higher-level clinical training and licensure to perform clinical assessments, drive positive outcomes for members, support care management colleagues, and offer clinical assistance to providers.</li><li>
Highly skilled at performing clinical assessments of members and identifying member needs.</li><li>
Extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) within their scope and have considerable knowledge of the MH/SU/IDD/TBI service array provided through the network of Vaya providers.</li><li>
Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred.</li><li>
Ability to complete and maintain all trainings and proficiencies required by Vaya, however delivered, including but not limited to the following:<ul><li>
BH I/DD Tailored Plan eligibility and services</li><li>
Whole-person health and unmet resource needs (ACEs, trauma-informed care, cultural humility)</li><li>
Community integration (independent living skills; transition and diversion, supportive housing, employment, etc.)</li><li>
Components of Health Home Care Management (Health Home overview, working in a multidisciplinary care team, etc.)</li><li>
Health promotion (common physical comorbidities, self-management, use of IT, care planning, ongoing coordination)</li><li>
Other care management skills (transitional care management, motivational interviewing, person-centered needs assessment and care planning, etc.)</li><li>
Serving members with I/DD or TBI (understanding various I/DD and TBI diagnoses, HCBS, Accessing assistive technologies, etc.)</li><li>
Serving children (child-and family-centered teams, Understanding the &ldquo;System of Care&rdquo; approach)</li><li>
Serving pregnant and postpartum women with SUD or with SUD history</li><li>
Serving members with LTSS needs (Coordinating with supported employment resources</li></ul></li><li>
Job functions with higher consequences of error may be identified, and proficiency demonstrated and measured through job simulation exercises administered by the supervisor where a minimum threshold is required of the position.</li></ul><div></div><div><b><br>
EDUCATION &amp; EXPERIENCE REQUIREMENTS</b></div><p>
Master&rsquo;s degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area. <b>For incumbents with a Master&rsquo;s Degree in a Human Services Area besides Nursing, one of the following required years of experience:</b></p><div><ul><li><b>
Serving members with BH conditions:</b></li></ul></div><div><ul><li>
Two (2) years of experience working directly with individuals with BH conditions</li></ul></div><div><ul><li><b>
Serving members with LTSS needs</b><ul><li>
Two (2) years of prior Long-tern Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience.</li><li>
This experience may be concurrent with the two years of experience working directly with individuals with BH conditions, an I/DD, or a TBI, described above</li></ul></li></ul></div><div></div><div><b><br>
For incumbents with a Master&rsquo;s Degree in Nursing, four years of full-time accumulated experience in mental health with the population served is required.</b> Experience can be before or after obtaining RN licensure.</div><div></div><ul><li><br>
<i>Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104</i></li></ul><div></div><div><b><br>
Licensure/Certification Required:</b></div><div>
Valid licensure required. Acceptable licenses are Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate (LCSWA), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Clinical Mental Health Counselor Associate (LCMHCA), Licensed Clinical Mental Health Counselor Supervisor (LCMHCS), Licensed Psychological Associate (LPA), Health Services Professional Psychological Associate (HSP-PA), Licensed Clinical Addiction Specialist (LCAS), Licensed Clinical Addiction Specialist Associate (LCASA), Licensed Marriage and Family Therapist (LMFT) or Licensed Marriage Family Therapist Associate (LMFTA).</div><div></div><ul><li><br>
Due to the multi-disciplinary nature of the LME/MCO business, care managers must operate within their scope of practice, and must engage and leverage other disciplines outside of their own training and credentials.</li></ul><div></div><p><b><br>
Preferred Work Experience:</b></p><div><ul><li>
Experience working directly with individuals with I/DD or TBI</li></ul></div><div></div><div><b><br>
PHYSICAL REQUIREMENTS</b></div><ul><li>
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.</li><li>
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists, and fingers.</li><li>
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.</li><li>
Mental concentration is required in all aspects of work.</li><li>
Ability to drive and sit for extended periods of time (including in rural areas)</li></ul><div></div><div><b><br>
RESIDENCY REQUIREMENT:</b> The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.</div><div></div><div><b><br>
SALARY: </b>Depending on qualifications &amp; experience of candidate. This position is exempt and is not eligible for overtime compensation.</div><div></div><div><b><br>
DEADLINE FOR APPLICATION:</b> Open Until Filled</div><div></div><div><b><br>
APPLY:</b> Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/.</div><div></div><div><br>
Vaya Health is an equal opportunity employer.</div></div><div></div>

Care Manager - LP

Mental Health Cooperative

<div><p>Ranked one of Tennessee&rsquo;s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals.<br>
</p><p><br>
Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee.
</p><p></p><p>Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis.<br>
</p><p><br>
If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you!
</p><p></p><p><b>Job Title: </b>Care Manager I (Team 249)
<br>
<br>
<b>Schedule: </b>Mon-Fri, 8:00a-4:30p
<br>
<br>
<b>Salary: </b>$41,000 (base pay) with additional incentive for language skills and behavioral health experience. Mileage reimbursement available.<br>
</p><p><br>
<b>JOB SUMMARY: </b>Provide comprehensive care management services to children and youth with SED and their families and / or to adults with SPMI. Develop relationships with consumers and assist them in overcoming challenges to live healthy, successful lives in the community. Collaborate with interdisciplinary team and community partners to provide innovative solutions to help consumers achieve their goals.<br>
</p><p><br>
<b>RESPONSIBILITIES:
</b></p><ul><li>Providing quality consumer care
<ul><li>Engage with consumers monthly to assess needs, develop and address care plan goals, and coordinate care.
</li><li>Complete visits with consumers in the community (home, school, court, etc) to evaluate needs and connect with individuals where they are.
</li><li>Address mental health, physical health, social determinants of health, gaps in care, and ED/IP utilization.
</li><li>Provide side by side approach to consumers in evaluating and addressing barriers to engagement in treatment.
</li><li>Assist with referral and linkage to community resources and advocate for consumers whenever necessary.
</li><li>Collaborate with consumers&rsquo; support system and identify / increase supports when needed.
</li><li>Follow training handouts and policies to ensure consumer care is delivered with utmost quality.
</li><li>Ensure timely and comprehensive documentation as informed by agency policies and procedures.
</li><li>Meet productivity standards as indicated in the policies and procedures.
</li></ul></li></ul><p></p><ul><li>Collaborate with team members and interdepartmentally
<ul><li>Actively participate in daily team meetings, coming prepared and ready to connect with team members to share insight, offer innovative solutions, and develop action plans. Follow up with plans developed in meetings.
</li><li>Participate in monthly supervision, coming prepared to discuss caseload, engage in professional development discussions, and receive feedback.
</li><li>Develop and maintain collaborative relationships across departments.
</li><li>Develop and maintain collaborative relationships with community partners.
</li>Demonstrates consistently Integrated Care Core Values of connection, innovation, compassion, and integrity.<br>
<li>
</li></ul></li></ul><p><br>
<b>REQUIREMENTS:
</b></p><ul><li>Bachelor&rsquo;s Degree in a health-related field of counseling, psychology, social work, or other behavioral health field required.
</li><li>Candidates with a bachelor&rsquo;s degree in criminal justice must have fifteen college level semester hours of coursework in behavioral health.
</li><li>Valid Tennessee Driver&rsquo;s License
</li><li>Acceptable Motor Vehicle Report (MVR)
</li><li>Acceptable Criminal Background Investigation
</li><li>Personal Automobile Insurance
</li></ul><p></p><p><b>ABOUT YOU:
</b></p><ul><li>Team Oriented
</li><li>Recovery Focused
</li><li>Interpersonal Skills
</li><li>Initiative and Follow Through
</li><li>Engagement
</li><li>Time Management and Organization
</li><li>THL Measures Effectively Addressed
</li><li>Meets Program Productivity Standards
</li><li>Timely Documentation
</li><li>Flexible
</li><li>Solution Focused
</li><li>Professional
</li></ul><p></p><p><b>BENEFITS: </b>Mental Health Cooperative offers a full comprehensive beneﬁt plan for you to participate in. The following products are available:
</p><ul><li>Medical Insurance/Prescription Drug Coverage
</li><li>Health Savings Account
</li><li>Dental Insurance
</li><li>Vision Insurance
</li><li>Basic Life and AD&amp;D Insurance
</li><li>Short- &amp; Long-Term Disability
</li><li>Supplemental Life Insurance
</li><li>Cancer Insurance
</li><li>Accident Insurance
</li><li>Critical Illness Insurance
</li><li>403b - Retirement Plan
</li><li>Calm App for medication and mental health
</li><li>Gym membership discounts
</li>Pet Insurance<br>
<li>
</li></ul><p><br>
Mental Health Cooperative embraces inclusion, diversity and equal opportunity. We're committed to building a team that represents a variety of backgrounds, perspectives, and skills. Mental Health Cooperative is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.</p></div><p></p>

Care Manager I (Team 249)

AllHealth Choice

<p><b>Role Overview</b></p><p>The Care Manager (LPN) will work under the direct supervision of the Chief Nursing Officer</p><p>Under general supervision and medical oversight, the Care Manager is a licensed clinician responsible for their populations health management to improve individual overall health, reduce risk for significant events, and reduce claims utilization. The Care Manager will focus on relationship building with their members, to establish shared goals and care action plans, identify care gaps, and encourage and coordinate preventative and maintenance care measures, including healthy lifestyle behaviors. The Care Manager will also work with our Enrollment Team to get new members enrolled and onboarded. This is a hybrid position- some remote work and some office work.</p><p><b>Key Responsibilities</b></p><p>&middot; Shift flexibility required, including evenings, weekend, and holiday work based on business need. Must be able to work independently and be self- motivated. Exceptional assessment skills are essential.</p><p>&middot; Travel may be required.</p><p>&middot; Develops rapport with member to establish health and wellness goals and provide custom education, based on level of readiness, biometric data, and health assessment results.</p><p>&middot; Utilizes assessment skills, health assessment, and claims data to identify preventative and maintenance care gaps and follows Care Paths to develop a Care Action Plan specific to the chronic disease.</p><p>&middot; Educates and encourages healthy lifestyle behaviors that will improve overall member health.</p><p>&middot; Triages calls and requests from clients, families, and care givers according to established procedures and coordinates care with providers, other internal departments, and outside agencies.</p><p>&middot; Provide clinical and basic technical support for telehealth devices and platform.</p><p>&middot; Coordinates care for an inter-professional, multi-disciplinary approach with providers, pharmacist, registered dieticians, disease-specific experts, and support departments as appropriate, both internal and external.</p><p>&middot; Effectively communicate with members and families in diverse cultural and age groups to discern deviations/changes in client's condition and activate appropriate measures based on Care Paths, including engaging and referring to providers.</p><p>&middot; Engages clients through motivational interviewing and health coaching techniques to evoke change behaviors according to approved Care Pathways, company policies and procedures, and standard nursing practice guidelines.</p><p>&middot; Advocates as a contact person for client, family, healthcare team members, and outside agencies to assure continuity of care and optimal clinical and resource outcomes.</p><p>&middot; Documents the course of care and all communications in appropriate instances according company policies and procedures.</p><p>&middot; Adheres to all other company policies and procedures.</p><p>&middot; Adherence to and compliance with Information Systems security policies and procedures and attends all Information Systems security trainings. Reports information systems security problems according to company policy and as appropriate.</p><p>&middot; Demonstrates and articulates clear understanding of AHC product offerings, applications, and client differences. Provides clinical support based on assigned level of care, and client specific processes.</p><p>&middot; Participates in routine productivity and performance reviews, revising workflows as indicated and appropriate.</p><p>&middot; Must be able to work independently and be self- motivated. Exceptional assessment skills are essential.</p><p>&middot; Remote working is allowed. A space should be available that allows for absolutely no distractions. Mandatory office days will be required.</p><p>&middot; Must successfully pass the company technical skills assessment.</p><p>&middot; Performs other duties as assigned</p><p>$1000.00 signing bonus after completion of 90 day introductory period.</p><p><b>Required Skills and Qualifications</b></p><p><b>Education/Licensing/Certification:</b></p><p>&middot; Current State License and Multistate License as a Licensed Vocational Nurse or Licensed Practical Nurse</p><p>&middot; Must remain in good standing to be eligible for other state licenses</p><p>&middot; Must not be on the Medicare OIG exclusion list, verified annually</p><p>&middot; Current State Driver&rsquo;s License</p><p><b>Required Experience:</b></p><p>&middot; Experience in clinical assessment and triage.</p><p>&middot; EMR (Electronic Medical Record) experience.</p><p><b>Knowledge, Skills, and Behavioral Competencies:</b></p><p>&middot; Accountability, Optimization, and Execution</p><p>- Juggles many priorities and competing demands for one's time.</p><p>- Acts resourcefully to ensure that work is completed within specified time and quality parameters.</p><p>- Removes obstacles to move the work forward and/or get efforts back on track.</p><p>- Surfaces problems and issues before projects get derailed.</p><p>- Demonstrates a &quot;can-do&quot; spirit, a sense of optimism, ownership, and commitment.</p><p>&middot; Maintains a consistent, high level of productivity.</p><p>&middot; Takes personal responsibility to make decisions and act.</p><p>&middot; Does not easily give up in the face of unexpected obstacles.</p><p>&middot; Projects a positive image and serves as a role model for others</p><p>&middot; Effective written and oral communications</p><p>&middot; Proficiency with Microsoft office programs</p><p>&middot; Maintains proficiency in AHC applications</p><p>Job Type: Full-time</p><p>Pay: From $21.00 per hour</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: Hybrid remote in Tifton, GA 31794</p>

Care Manager (LPN)

MedStar Health

<div>About this Job:
<div><p>
Job Summary:</p></div><div><p><br>
Medstar Health is looking for a Care Manager to join our team! We are looking for a licensed social worker with effective communication skills, the ability to effectively engage patients in a therapeutic relationship, working knowledge of differential diagnosis of common mental health and/or substance use disorders. and knowledge of psychopharmacology for common mental health disorders.</p></div><div><p>
The Care Manager functions as a core member of a collaborative care team that involves the patient's primary care provider, psychiatric consultant, and other mental health providers. The Care Manager is responsible for coordinating and supporting mental health care within the care setting and for coordinating referrals to clinically indicated services outside the care site.</p></div><div><p>
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the &quot;Healthiest Maryland Businesses&quot;. Apply today and learn how MedStar Health can be your next great career move!</p></div><div><p><br>
<br>
Primary Duties:</p></div><div><ul><li><p>
Completes relapse prevention plan with patients who are in remission. Documents patient progress and treatment recommendations in the registry so they can be easily shared with PCPs (Primary Care Physicians), psychiatric consultants, and other treatment providers. Monitors patients in person or by phone for changes in clinical symptoms, treatment side effects, or complications.</p></li></ul></div><div><ul><li><p>
Facilitates patient engagement and follow-up care. Tracks patient follow-up and clinical outcomes. Documents encounter in a registry and use the system to identify and re-engage patients. Facilitates referrals for clinically indicated services outside the primary care clinic such as social services, housing assistance, vocational rehabilitation, mental health specialty care, or substance abuse treatment. Facilitates treatment plan changes for patients who are not improving as expected in consultation with PCP and psychiatric consultant. This may include changes in medications or psychosocial treatments with appropriate referrals for additional services.</p></li></ul></div><div><ul><li><p>
Participates in regularly scheduled caseload consultation with the psychiatric consultant and communicates resulting treatment recommendations to the patient&rsquo;s primary care provider. Consultations will focus on patients new to treatment or those who are not improving as expected. Supports and closely coordinates mental health care with the patient&rsquo;s primary care provider and, when appropriate, other mental health providers.</p></li></ul></div><div><ul><li><p>
Provides brief interventions using evidence-based techniques such as Behavioral Activation, Problem-Solving treatment, motivational interviewing, or other treatments appropriate for primary care settings. Screens and assesses patients for common mental health and substance abuse disorders. Provides basic education and available treatment options. Provides referrals to evidence-based psychosocial treatments as clinically indicated.</p></li></ul></div><p></p><div><p><br>
Qualifications:</p></div><div><ul><li><p>
Master's degree in psychology, Social Work, or related field.</p></li></ul></div><div><ul><li><p>
BSN or LPN (Licensed Practical Nurse) with mental health training/certification may be substituted.</p></li></ul></div><div><ul><li><p>
Experience working with patients who have co-occurring mental health, substance abuse and physical health problems.</p></li></ul></div><div><ul><li><p>
Experience screening for common mental health and/or substance use disorders patient assessments and treatment planning Required and</p></li></ul></div><div><ul><li><p>
LCSW-C (Licensed Certified Social Worker- Clinical), LMSW (Licensed master's Social Work) or LCPC (Licensed Clinical Professional Counselor).</p></li></ul></div><div><ul><li><p>
PhD in Psychology may be substituted</p></li></ul></div><div><ul><li><p>
1-2 years Related experience in a similar care model preferred.</p></li></ul></div>
This position has a hiring range of : USD $61,838.00 - USD $111,259.00 /Yr.</div>

Behavioral Health Collaborative Clinician

KINGS VIEW

<div><p><b>Description</b><br>
</p><br>
<b>Care Manager (Peer or Paraprofessional</b><br>
Location: Hanford, CA<br>
Position Type: Full-Time | Non-Exempt<br>
Salary Range: $23.19 &ndash; $24.60 per hour<br>
<br>
<b>Join Our Mission</b><br>
At Kings View, every role contributes to something bigger &mdash; improving lives and strengthening communities. We are committed to providing behavioral health and social services to those with limited resources, guided by compassion, excellence, and respect.<br>
<br>
<b>Position Overview:</b><br>
Kings View is seeking a Care Manager (Peer or Paraprofessional) to support Enhanced Care Management (ECM) and Community Supports (CS) programs. This role works directly with members and their support systems to coordinate care, address gaps in services, and promote whole-person wellness.<br>
<br>
The Care Manager partners with a multidisciplinary care team to ensure members receive coordinated services across medical, behavioral health, and social support systems, including addressing social determinants of health.<br>
<br>
<b>Key Responsibilities:</b><br>
<br>
Care Coordination &amp; Case Management:<br>
<ul><li>Conduct outreach, engagement, and care coordination for members</li><li>Complete assessments and develop individualized care plans</li><li>Implement and monitor care plans to ensure member needs are met</li><li>Coordinate with healthcare providers, social services, and community resources</li><li>Prevent duplication of services and ensure seamless care delivery</li></ul><br>
Member Support &amp; Advocacy:<br>
<ul><li>Engage members in services and support their recovery and wellness goals</li><li>Advocate for members with healthcare providers and service agencies</li><li>Accompany members to appointments as needed</li><li>Provide education on health promotion and self-management</li><li>Monitor treatment adherence, including medications</li></ul><br>
Community &amp; Resource Navigation:<br>
<ul><li>Connect members to housing, transportation, benefits, and other supports</li><li>Assist with access to services such as SSI, medical care, and veteran benefits</li><li>Coordinate discharge planning with hospitals and providers</li><li>Support members in accessing appropriate levels of care</li></ul><br>
Crisis Awareness &amp; Safety:<br>
<ul><li>Utilize trauma-informed care, motivational interviewing, and harm reduction approaches</li><li>Respond appropriately to high-risk situations and behavioral health crises</li><li>Follow protocols and coordinate with emergency services when needed</li></ul><br>
General Duties:<br>
<ul><li>Maintain accurate documentation and case records</li><li>Collaborate with multidisciplinary teams</li><li>Work flexible hours including occasional evenings and weekends</li><li>Perform other duties as assigned</li></ul><br>
<b>
What You&rsquo;ll Bring:</b><br>
<br>
<b>Required Qualifications:</b><br>
<ul><li>High School Diploma or equivalent</li><li>One (1) year of relevant experience</li><li>Valid California Driver&rsquo;s License (Class C)</li></ul><br>
<b>
Required Experience:</b><br>
<ul><li>Experience working with one or more of the following populations:</li></ul>
 homeless individuals, individuals with serious mental illness (SMI),<br>
 substance use disorders (SUD), or involvement in the criminal justice system<br>
<br>
<b>Required Skills:</b><br>
<ul><li>Strong communication and interpersonal skills</li><li>Ability to conduct assessments and develop care plans</li><li>Ability to coordinate services and navigate community resources</li><li>Strong organizational and documentation skills</li><li>Ability to work independently and collaboratively</li></ul><br>
<b>
Preferred Qualifications:</b><br>
<ul><li>Bachelor&rsquo;s Degree (BA/BS)</li><li>Bilingual English/Spanish</li><li>CNA or Medical Assistant experience</li></ul><br>
<b>
Professional Attributes:</b><br>
<ul><li>Compassionate and empathetic</li><li>Adaptable and resourceful</li><li>Strong problem-solving skills</li><li>Ability to work in challenging environments</li><li>Commitment to serving vulnerable populations</li></ul><br>
<b>
Additional Requirements:</b><br>
<ul><li>Must meet insurability requirements if applicable</li><li>Must be authorized to work in the United States</li></ul><br>
<b>
Pre-Employment Requirements:</b><br>
<ul><li>Background check</li><li>Drug screening</li><li>Live Scan (DOJ fingerprinting)</li></ul><br>
<b>
Work Environment:</b><br>
This role involves field-based work and may include travel to homes, community locations, and healthcare settings. Work may occur in varying environmental conditions and requires flexibility, professionalism, and resilience.<br>
<br>
<b>Equal Opportunity Employer:</b><br>
Kings View is an Equal Opportunity Employer.<br>
<br>
<b>ADA Statement:</b><br>
Reasonable accommodations will be provided in accordance with applicable laws.</div>

Care Manager (Peer or Paraprofessional)

Volunteer Behavioral Health Care System

<p><b>Care Manager (Full-Time) &ndash; Cookeville Campus</b></p><p>Location: Cookeville, TN<br/>Schedule: Monday to Friday 8am-5pm</p><p>Education Required: Bachelor&rsquo;s degree in counseling, psychology, social work, behavioral sciences, or related field.</p><p>Salary scale based on experience.</p><p><b>Job Summary</b></p><p>We are hiring a full-time Care Manager to provide person-centered support to adults and children. This role helps individuals access medical, behavioral health, social, and community resources following the TN Health Link model. Services are delivered in the office and community.</p><p><b>Key Responsibilities</b></p><p>Develop and monitor individualized care plans.</p><p>Coordinate medical and behavioral health appointments.</p><p>Connect individuals to community resources (housing, food, employment, legal, etc.).</p><p>Provide in-person support for treatment and medication adherence.</p><p>Assist with hospital discharge planning and crisis support.</p><p>Educate patients and families on independent living skills.</p><p>Maintain accurate documentation and reports.</p><p>Work collaboratively with team members, families, and providers.</p><p><b>Qualifications</b></p><p>Bachelor&rsquo;s degree behavioral sciences required (Counseling, Psychology, Social Work, or another related health field).</p><p>Strong communication, organizational, and interpersonal skills.</p><p>Ability to work both independently and as part of a multidisciplinary team.</p><p>Must demonstrate empathy, professionalism, and reliability.</p><p><b>Why Join Us?</b></p><p>Meaningful work that impacts individuals and families in the community.</p><p>Supportive team environment.</p><p>Opportunities for professional growth.</p><p>Competitive benefits and full-time stability.</p><p>Job Type: Full-time</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Loan forgiveness</li><li>Paid time off</li><li>Professional development assistance</li><li>Vision insurance</li></ul><p>Application Question(s):</p><ul><li>Do you have a bachelor&rsquo;s degree in behavioral sciences (Counseling, Psychology, Social Work, or another related health field)?</li></ul><p>Education:</p><ul><li>Bachelor's (Required)</li></ul><p>Experience:</p><ul><li>Case management: 1 year (Required)</li></ul><p>Work Location: In person</p>

Care Manager

Neighborhood Healthcare

<div><p><b>ABOUT US:</b></p>
<p><i>
Community health is about more than just vaccines and checkups. It&rsquo;s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We&rsquo;re with you every step of the way, with the care you need for each of life&rsquo;s chapters. At Neighborhood, we are Better Together.</i><br>
<br>
<i>As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.</i><br>
<br>
<i>We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.</i></p>
<p><b>
ROLE OVERVIEW and PURPOSE:</b></p>
<p>
The Community Health Worker (CHW) is responsible for working effectively with Enhanced Care Management (ECM) members to improve their whole health through outreach and engagement activities, which are primarily field based. This position works collaboratively as part of the Enhanced Care Management team, members and families, and other professionals and works with the designated primary care provider (PCP) care team.</p>
<p><b>
**This is a hybrid position; on site expectations are dependent on performance. **</b></p>
<p><b>
RESPONSIBILITIES:</b></p>
<ul>
<li>Assists members in navigating the healthcare system by finding and following up by phone and in-person with eligible ECM members</li>
<li>Helps members participate in their medical and/or behavioral healthcare by overcoming barriers to care</li>
<li>Documents and shares member barriers with ECM team and PCP to improve care and outcomes</li>
<li>Utilizes evidence-based approaches when engaging with patients to increase their sense of control over their health, such as motivational interviewing to promote collaboration between patients and their medical/behavioral care team</li>
<li>Communicates and delivers easy to read information about health and wellness to the community and provides information on Home Health Plan (HHP) member benefits and services</li>
<li>Advocates on behalf of ECM members in the home, community, and provider organizations</li>
<li>Builds and maintains a positive working relationship with providers, including interactions within provider offices, phone, email, fax, and other approved communication methods</li>
<li>Assists the ECM team and providers to understand the culture, norms, beliefs, and preferences about patients and their communities by representing the community's voice</li>
<li>Helps create messages and materials that fit community culture and delivers messages to fit the culture of members</li>
<li>Works collaboratively within the ECM team to discuss responsibilities, task sharing, conflict resolution, and member case reviews</li>
<li>Collaborates on member care issues with other ECM team members</li>
<li>Participates in weekly case reviews and consults with the member's PCP before taking any clinical action</li>
<li>Ensures documentation is accurate, helpful, and compliant with regulatory requirements and accreditation standards</li>
<li>Participates in required staff meetings or other activities</li>
</ul>
<p><b>EDUCATION/EXPERIENCE:</b></p>
<ul>
<li>High school/GED <b>required</b></li>
<li>Two years of healthcare, behavioral health, or social services industry experience <b>required</b></li>
<li>Valid CA Driver&rsquo;s License and proof of auto insurance <b>required</b></li>
<li>Experience working in outreach and customer service within the medical office and behavioral health environments with individuals who struggle with substance use disorder and mental health issues preferred</li>
<li>Bilingual (English/Spanish) preferred</li>
</ul>
<p><b>ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities):</b></p>
<ul>
<li>Ability to sufficiently engage members in a variety of settings (phone, in person/homes and/or care settings, such as hospitals)</li>
<li>Knowledgeable about the community the, especially non-professional resources and their reputation in the community</li>
<li>Ability to develop relationships with community members and leaders, including faith-based community</li>
<li>Skillful in decision-making and judgement, including knowing when to consult with the team, supervisors, and experts</li>
<li>Understanding of and sensitivity to mental health conditions and addictive disorders</li>
<li>Excellent verbal and written communication skills, including superior composition, typing and proofreading skills</li>
<li>Ability to interpret a variety of instructions in written, oral, diagram, or schedule form</li>
<li>Ability to successfully manage multiple tasks simultaneously</li>
<li>Excellent planning and organizational ability</li>
<li>Excellent teamwork and relationship building skills</li>
<li>Ability to work as part of a team as well as independently</li>
<li>Ability to work with highly confidential information in a professional and ethical manner</li>
</ul>
<p><b><i>Physical Requirements</i></b></p>
<ul>
<li>Ability to lift/carry 20 lbs/weight</li>
<li>Ability to stand for long periods of time</li>
</ul>
<p><b>Pay range:</b> $24.95 - $34.93 per hour, depending on experience</p>
<p><b>
Compensation Disclosure:</b> <i>The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate&rsquo;s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs.</i></p></div>

Community Health Worker - Enhanced Care Management

Search 10000+ Health care manager jobs near you this May. New roles added regularly across leading industries. Apply today.