Care Manager I – Waiver

Alliance Health

. Complete comprehensive assessments or Care Needs Screening at enrollment, yearly, or when conditions change .

Posted 11/3/2026full-timeMorrisville • North Carolina • United StatesJuniorMid-Level💰 $30 - $38 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, including the development and monitoring of person-centered Plans of Care, and coordination of LTSS and HCBS services. Proficient in conducting assessments, verifying Medicaid eligibility, and utilizing Motivational Interviewing techniques to support members effectively.

Highest-signal resume keywords

LTSS CoordinationHCBS CoordinationPerson Centered ThinkingMotivational InterviewingMedicaid Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Needs ScreeningPlans of Care DevelopmentService Utilization MonitoringAssessment KnowledgeConflict Management

Soft Skills

Interpersonal CommunicationWritten CommunicationDecision MakingDiplomacyConflict Resolution

Tools & Technologies

Microsoft OfficeJIVAAlliance Claims System

Certifications & Qualifications

LCSWLCMHCLPALMFTRegistered Nurse (RN)NACCMNADD-SpecialistCBIS Certification

Industry Keywords

Behavioral HealthSocial Determinants of HealthWaiver DocumentationSIS AssessmentsIDDTBI

About the role

Key responsibilities & impact

Complete comprehensive assessments or Care Needs Screening at enrollment, yearly, or when conditions change
Develop, assign, monitor, and update person-centered Plans of Care
Coordinate physical health, behavioral health, pharmacy, social determinants of health, LTSS, HCBS, waiver, and community services
Support members and legally responsible persons with provider selection, rights, grievances, appeals, service options, and payer requirements
Schedule and conduct face-to-face, virtual, telephonic, and field-based meetings with members, guardians, providers, and stakeholders
Submit referrals, service requests, authorizations, service orders, purchase orders, and required waiver documentation
Verify Medicaid eligibility, CEG enrollments, demographic information, and records in JIVA and Alliance Claims System
Monitor service utilization, documentation, adherence, member progress, service quality, and achievement of individualized goals
Coordinate transitions, discharges, residential placements, SIS assessments, ISP meetings, and movement outside the Alliance geographic area
Identify and resolve barriers to treatment and service delivery with members and providers
Recognize and report critical incidents and provider quality concerns
Obtain, upload, maintain, and distribute required clinical, release, and compliance documentation
Escalate complex cases and concerns to supervisors and maintain medical record compliance
Attend community, provider, stakeholder, court, and Alliance meetings as needed
Travel weekly throughout the assigned county to meet with members, providers, and community stakeholders

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 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 field and one (1) year of post graduate degree mh/dd/sa experience with the population served; or fully or provisionally licensed in North Carolina as a LCSW, LCMHC, LPA, or LMFT and two (2) years LTSS and/or HCBS coordination, care delivery monitoring, and care management experience; or Licensed Registered Nurse (RN) in North Carolina with four (4) years of mh/dd/sa experience with the population served
Two (2) years LTSS and/or HCBS coordination, care delivery monitoring, and care management experience required across the degree-based alternatives
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
Proficient in Microsoft Office products such as Word, Excel, and Outlook
High level of diplomacy and discretion required to negotiate and resolve issues with minimal assistance
Ability to make prompt, independent decisions based upon relevant facts
Required driver license
Preferred: NACCM, NADD-Specialist and/or CBIS Certification

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