Care Manager I – TCL

Alliance Health

. Assure integrated whole-person care management for individuals and families with special health care needs .

Posted 9/18/2026full-timeMorrisville • North Carolina • United StatesJunior💰 $30 - $38 per hourWebsite

Core Competencies

Role fit

Core Competencies

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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 health services and navigating Medicaid requirements to support individuals with special health care needs.

Highest-signal resume keywords

Licensed Clinical Social Worker (LCSW)Motivational InterviewingPerson Centered PlanningPlans of Care DevelopmentMedicaid Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Needs ScreeningAssessment DevelopmentService CoordinationClinical DocumentationTCL Monitoring Requirements

Soft Skills

Interpersonal CommunicationConflict ManagementDecision MakingDiplomacyDiscretion

Tools & Technologies

JIVACliveTCLDMicrosoft Office

Certifications & Qualifications

NACCM CertificationNADD-Specialist CertificationCBIS CertificationLicensed Registered Nurse (RN)

Industry Keywords

Mental HealthDevelopmental DisabilitiesSubstance AbuseCommunity IntegrationHealth Care Needs

About the role

Key responsibilities & impact

Assure integrated whole-person care management for individuals and families with special health care needs
Coordinate physical health, behavioral health, pharmacy, and unmet health-related resource needs
Complete comprehensive assessments and Care Needs Screenings
Develop and update Plans of Care
Assign interventions and care activities to appropriate care management team members and Community Health Workers
Submit referrals for medically or pharmaceutically complex needs
Assist members or legally responsible persons in choosing service providers
Evaluate service appropriateness and monitor implementation of Plans of Care
Use person-centered planning, motivational interviewing, and JIVA assessment history
Collaborate with members, guardians, care teams, service providers, community systems, and stakeholders
Schedule and conduct face-to-face, virtual, and telephone meetings
Educate members about Alliance Health Plan, rights, grievances and appeals, services, providers, and payer requirements
Recognize and report critical incidents and provider quality concerns
Coordinate transitions to appropriate levels of care and community-based services
Identify treatment barriers and assist with appointments and treatment-provider linkages
Maintain required member contacts and attend community, provider, and stakeholder meetings
Obtain, upload, and maintain supporting documentation and releases of information
Open episodes and maintain member records in JIVA, Clive, and TCLD
Escalate complex cases and ensure clinical documentation meets state, agency, and Medicaid requirements
Complete TCL monitoring requirements supporting tenancy, health, safety, community integration, housing, and provider coordination
Support supportive-housing tenancy stability, voucher applications, rehousing, bridge/hotel-program transitions, and housing separations
Educate members about IPS-SE employment, community integration, and education referrals
Travel between Alliance offices and to meetings, member/provider/stakeholder appointments, court hearings, and Alliance-sponsored events

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, OR Bachelor’s degree in a Non-Human Services field and four (4) years of post-bachelor’s degree mh/dd/sa experience with the population served, OR Master’s Degree in Human Services 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, OR 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
Knowledge of 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, including conflict management and resolution skills
High level of diplomacy and discretion
Ability to make prompt, independent decisions based upon relevant facts
Employment contingent upon satisfactory background and MVR (Motor Vehicle Registration) check
Ability to travel between Alliance offices and to meet with members, providers, stakeholders, and attend court hearings as required

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