TCM Care Manager - Gastonia

• Conduct comprehensive assessments of physical, behavioral health, and social needs
• Develop, implement, and monitor individualized care plans based on client goals
• Coordinate services across medical, behavioral health, housing, and social service systems
• Provide ongoing follow-up, care coordination, and health promotion

• Connect individuals to appropriate community resources
• Address Social Determinants of Health (SDOH), including housing, education, access to care, and community support
• Empower individuals to actively manage their health and wellness

• Coordinate follow-up within 24 hours of hospital or emergency department discharge

• Support individuals through life transitions (e.g., housing changes, incarceration release)

• Identify and respond to crisis situations in accordance with agency protocols
• Participate in on-call rotation and 24/7 crisis response as required
• Participate in post-crisis debriefings and prevention planning

• Build and maintain relationships with interdisciplinary care teams and community partners
• Advocate for equitable access to services and resources
• Educate clients and families on available services and self-management strategies

• Maintain accurate, timely, and compliant documentation in accordance with state, federal, and program guidelines
• Monitor client progress and adjust care plans as needed

• Participate in team meetings, trainings, and Quality Improvement (QI) initiatives
• Monitor utilization, outcomes, and compliance metrics
• Perform additional duties as assigned

• Bachelor’s degree in Social Work, Nursing, Human Services, or related field required; Master’s preferred
• Minimum of 2 years of experience in care management, case management, or care coordination
• Experience working with individuals with behavioral health conditions, chronic health needs, or social barriers.

• Be a fully certified professional through the North Carolina Addictions Specialist Professional Practice Board (NCASPPB) with 4 years of full-time experience working with the MH/DD/SUD population
• Note: CADC-R and CADC-I are not considered full certification

• Meet degree and experience requirements as follows:

• If, no college degree:
• Minimum 4 years of full-time experience with MH/DD/SUD population
• If college graduate: must meet one of the following:
• Master’s degree in a human services field + 1 year of supervised MH/DD/SUD experience
• Bachelor’s degree in a human services field + 2 years of supervised MH/DD/SUD experience
• Bachelor’s degree in a non-human services field + 4 years of supervised MH/DD/SUD experience

• Be a Substance Use Disorder Professional with equivalent supervised experience:
• 1 year (Master’s level)
• 2 years (Bachelor’s in human services)
• 4 years (Bachelor’s in non-human services)

• Strong understanding of care management principles and community resources
• Knowledge of ICD-10 coding and behavior management techniques
• Excellent communication, organizational, and problem-solving skills
• Ability to manage a caseload and prioritize effectively
• Proficiency in EHR systems and Microsoft Office

• Licensed Social Worker, Registered Nurse, or other applicable credential
• Valid driver’s license and reliable transportation for community-based work

• Hybrid work model (in-office, remote, and field-based services)
• Travel within assigned service areas required
• Flexible hours may be needed to meet client needs
• Care Manager JD

• Medical, Dental, and Vision Insurance
• Short-Term Disability (STD) & Long-Term Disability (LTD)
• Group Life Insurance
• 80 Hours of PTO (Vacation, Sick, and Personal Time)
• Paid Holidays
• Employee Discount Program (Tickets at Work)

• 
  If you are passionate about making a meaningful impact and providing high-quality, person-centered care, we encourage you to apply and grow with us.

E04JI802okl940908wj