Care Manager – Care Management for High-Risk Pregnancy

Alliance Health

. Support members identified for CMHRP during pregnancy and postpartum .

Posted 10/14/2026full-timeMorrisville • North Carolina • United StatesJuniorMid-Level💰 $69,592 - $88,729 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management and coordination, particularly in maternal health and behavioral health, while effectively engaging with members and community partners to address social determinants of health. Proficient in developing individualized care plans and utilizing care management technology to enhance member support and outcomes.

Highest-signal resume keywords

Care ManagementMaternal Health SupportBehavioral Health CoordinationLicensed Clinical Social Worker (LCSW)Community Resource Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationDischarge PlanningUtilization ManagementRisk StratificationAssessment CompletionMember Engagement StrategiesPrenatal Care KnowledgePostpartum Care KnowledgeDocumentation SkillsQuality Audits

Soft Skills

Communication SkillsProblem-SolvingCollaboration SkillsCultural ResponsivenessOrganizational Skills

Tools & Technologies

Care Management Technology

Certifications & Qualifications

Licensed Clinical Social Worker (LCSW)Licensed Marriage and Family Therapist (LMFT)Licensed Clinical Addiction Specialist (LCAS)Licensed Clinical Mental Health Counselor (LCMHC)Licensed Psychological Associate (LPA)Registered Nurse (RN)

Industry Keywords

Medicaid Managed CareSocial Drivers of HealthTailored PlanCommunity HealthHigh-Risk Pregnancy

About the role

Key responsibilities & impact

Support members identified for CMHRP during pregnancy and postpartum
Provide subject matter expertise regarding members’ physical and/or behavioral health to support a whole-person Care Management approach
Collaborate with Alliance staff, providers, physicians, specialty care providers, community partners, and stakeholders to address barriers
Conduct timely outreach to referred or identified members using approved contact methods and engagement strategies
Confirm eligibility, explain program services, support enrollment, document declinations or inability to contact, and notify appropriate providers
Complete assessments covering pregnancy-related risks, behavioral health needs, social drivers of health, prenatal care barriers, member goals, and support needs
Develop and maintain individualized, member-centered care plans
Provide education and care management support related to prenatal care, warning signs, medication adherence, appointments, postpartum care, infant handoffs, and community resources
Identify and help resolve transportation, food insecurity, housing, language access, behavioral health, substance use, interpersonal safety, and other social needs
Escalate urgent maternal health, behavioral health crisis, safety, missed appointment, and unresolved access concerns
Coordinate with OB providers, hospitals, behavioral health providers, pharmacies, Local Health Departments, and community partners
Participate in case reviews, supervision, quality audits, training, workflow refinement, and performance improvement
Document outreach, assessments, care plans, referrals, communications, escalations, and case closures accurately and timely
Review, validate, and interpret member identification and risk stratification data; recommend care management adjustments
Analyze member needs to guide training, identify resource needs, and assess workflow consistency
Travel between Alliance offices, attend meetings and sponsored events, meet members and providers, attend court hearings, and travel within Wake, Durham, and Orange counties as required

Requirements

What you’ll need

Master’s degree from an accredited college or university in Human Services or related field and at least two (2) years of full-time, post graduate degree experience providing care management, case management, care coordination, discharge planning, or utilization management to members with Behavioral Health and Physical Health conditions in a behavioral health, medical, or managed care setting
Must be fully or provisionally licensed in the State of North Carolina as a LCSW, LMFT, LCAS, LCMHC, LPA
Or graduation from a school of nursing and licensure as a Registered Nurse and three (3) years of full-time, post degree experience
Must be licensed as a Registered Nurse in the State of North Carolina
Experience in care management, maternal health, high-risk pregnancy support, Medicaid managed care, behavioral health, community health, or human services is preferred
Knowledge of prenatal and postpartum care coordination, social drivers of health, behavioral health needs, community resources, and member engagement strategies preferred
Knowledge of the Tailored Plan and Medicaid Direct Transformation
Knowledge of Tailored Plan standards or procedures
Strong communication, engagement, documentation, organization, cultural responsiveness, problem-solving, and collaboration skills
Ability to build trust with members, coordinate across providers and community partners, manage multiple priorities, recognize escalation needs, use care management technology, and follow standardized workflows while adapting support to individual member needs
Satisfactory background and MVR check required after offer acceptance and before start date

Benefits

Comp & perks

Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility