Care Manager I – Non-Waiver
Alliance Health
Posted: 10/21/2026
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Posted: 10/21/2026Care Manager I – Non-Waiver
Alliance HealthPosted 10/21/2026full-timeMorrisville • North Carolina • United StatesJunior💰 $30 - $38 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in integrated whole-person care management, including the development and implementation of Plans of Care, while utilizing person-centered planning and motivational interviewing techniques. Proficient in coordinating multidisciplinary care and ensuring compliance with Medicaid and state requirements.
Highest-signal resume keywords
Integrated Whole-Person Care ManagementPlans of Care DevelopmentMotivational InterviewingLicensed Clinical Social Worker (LCSW)Knowledge of Medicaid Tailored Plan
About the role
Key responsibilities & impact- Assure individuals and families with special health care needs receive integrated whole-person care management
- Coordinate physical health, behavioral health, pharmacy, and unmet health-related resource needs
- Complete comprehensive assessments or Care Needs Screening at enrollment, yearly, or upon changes in condition
- Develop Plans of Care from completed assessments
- Assign interventions and Plan of Care activities to appropriate care management team members
- Submit referrals for physical health, behavioral health, medical, pharmaceutical, social determinant, disparity, and complex payer needs
- Assist individuals or legally responsible persons in choosing service providers objectively
- Evaluate service appropriateness and ensure Plan of Care implementation
- Use person-centered planning, motivational interviewing, and Jiva assessment history to identify needed supports
- Collect data to identify barriers and measure care management effectiveness
- Collaborate with members, legally responsible persons, care teams, providers, stakeholders, and residential placement teams
- Submit documentation to Utilization Management and troubleshoot until authorization is obtained
- Schedule and conduct face-to-face, virtual, and telephonic member meetings
- Provide education about Alliance Health Plan, care teams, resources, services, rights, grievances, appeals, providers, and payer requirements
- Refer members in crisis or institutional settings to appropriate care team members
- Report critical incidents and provider quality concerns
- Monitor member status, care needs, service adherence, treatment barriers, and ongoing engagement
- Assist with appointments and treatment-provider linkages
- Maintain required member contacts under state contractual requirements
- Attend community, provider, and stakeholder meetings as needed
- Obtain, upload, and share supporting documentation and releases of information
- Open episodes and document member updates and activities in JIVA
- Escalate complex or concerning cases to the supervisor
- Obtain service orders or doctor’s orders when applicable
- Coordinate transitions, including planned movement outside Alliance’s geographic area
- Ensure clinical documentation meets state, agency, and Medicaid requirements
- Adhere to Alliance policies, procedures, and Care Management Desk Procedures
- Travel between Alliance offices, member and provider locations, stakeholder meetings, court hearings, and Alliance-sponsored events as required
Requirements
What you’ll need- Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of post-bachelor’s degree mh/dd/sa experience with the population served
- Bachelor’s degree from an accredited college or university in non-human Services field and four (4) years of post-bachelor’s degree mh/dd/sa experience with the population served
- Master’s Degree from an accredited college or university in Human Services field and one (1) year of post graduate degree mh/dd/sa experience with the population served
- Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT
- Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of mh/dd/sa experience with the population served
- Preferred: NACCM, NADD-Specialist and/or CBIS Certification
- Person Centered Thinking/planning
- Knowledge of using assessments to develop plans of care
- Knowledge of Diagnostic and Statistical Manual of Mental Disorders
- Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
- Knowledge of Medicaid Tailored Plan, Medicaid Direct, enhanced MHSUD, and waiver benefits plans
- Knowledge of and skilled in the use of Motivational Interviewing
- Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
- Strong interpersonal and written/verbal communication skills essential, including Conflict management and resolution skills
- High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance
- Ability to make prompt, independent decisions based upon relevant facts
- Must reside in North Carolina
- Must be willing to travel to the Alliance Home office in Morrisville, North Carolina, or within Alliance’s catchment area as needed
- Travel to meet with members, providers, stakeholders, attend court hearings, etc. is required
- Satisfactory background and MVR check required before start date
- Required Driver License
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Care Needs ScreeningAssessment DevelopmentService Appropriateness EvaluationData Collection for Care ManagementClinical Documentation Compliance
Soft Skills
Interpersonal CommunicationConflict ManagementDecision MakingDiplomacyNegotiation
Tools & Technologies
Microsoft Office SuiteJIVA
Certifications & Qualifications
LCSWLCMHCLPALMFTNACCMNADD-SpecialistCBIS Certification
Industry Keywords
Mental HealthDevelopmental DisabilitiesSubstance AbuseMedicaidPerson-Centered Planning