Care Manager II

Alliance Health

. Lead all communication among care team members and serve as the primary point of contact for the member .

Posted 9/17/2026full-timeRemote • North Carolina • United StatesJuniorMid-Level💰 $69,592 - $90,469 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and implementing individualized Plans of Care using person-centered planning and motivational interviewing techniques. Proficient in navigating Medicaid requirements and conducting comprehensive assessments to ensure appropriate service delivery.

Highest-signal resume keywords

Licensed Clinical Social Worker (LCSW)Motivational InterviewingPerson Centered PlanningComprehensive Assessment DevelopmentMedicaid Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Plan of Care DevelopmentAssessment TechniquesService CoordinationDocumentation ComplianceCrisis Intervention

Soft Skills

Interpersonal CommunicationConflict ManagementDecision MakingDiplomacyTeam Leadership

Tools & Technologies

JIVAMicrosoft Office

Certifications & Qualifications

Licensed Clinical Social Worker (LCSW)Registered Nurse (RN)

Industry Keywords

Mental HealthSubstance Use Disorder (SUD)Intellectual/Developmental Disabilities (I/DD)Utilization ManagementNorth Carolina Medicaid

About the role

Key responsibilities & impact

Lead all communication among care team members and serve as the primary point of contact for the member
Complete comprehensive assessments at enrollment, annually, or upon changes in condition
Develop Plans of Care for Tailored Plan recipients
Assign interventions and Plan of Care activities to Care Workers and Community Health Workers
Submit referrals to Integrated Health Consultants for complex physical, behavioral health, or pharmaceutical needs
Assist individuals and legally responsible persons in choosing service providers objectively
Evaluate service appropriateness and ensure Plan of Care implementation
Use person-centered planning, motivational interviewing, and historical Jiva assessment reviews to identify needed supports
Collaborate with care teams, members, and service providers to develop individualized plans
Submit required documentation to Utilization Management and troubleshoot authorization issues
Schedule and conduct member contacts, face-to-face meetings, education, and support
Explain rights, grievance and appeals processes, service options, providers, and payer requirements
Recognize and report critical incidents and provider quality concerns
Coordinate transitions to appropriate levels of care and attend treatment meetings
Schedule, coordinate, and lead team conference calls
Monitor member status, care needs, service adherence, and emerging clinical needs
Obtain, upload, and share supporting documentation, releases, consents, and legal/guardianship verification
Open episodes in JIVA and document member updates and activities
Escalate complex cases to the Supervisor and distribute member surveys
Obtain service orders and clinical documentation as applicable
Coordinate transitions when individuals move outside the Alliance MCO geographic area
Ensure documentation meets state, agency, and Medicaid requirements
Travel between Alliance offices and to members, providers, stakeholders, and court hearings as required

Requirements

What you’ll need

Master’s degree in Human Services or related field and at least two years of full-time, post graduate degree, MH/SUD and/or Intellectual/Developmental Disabilities (I/DD) experience
Must be fully or provisionally licensed in North Carolina as an LCSW, LMFT, LCAS, LCMHC, or LPA
OR graduation from a school of nursing, active Registered Nurse licensure, and two years of full-time MH/SUD and/or I/DD experience
Must be licensed as a Registered Nurse in North Carolina
Physical Health experience preferred
Knowledge of Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of the Diagnostic and Statistical Manual of Mental Disorders
Knowledge of LOC process, SIS for IDD, and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Skilled in Motivational Interviewing
Proficient in Microsoft Office products such as Word, Excel, and Outlook
Strong interpersonal and written/verbal communication skills, including conflict management and resolution
High level of diplomacy and discretion
Ability to make prompt, independent decisions based on relevant facts
Must reside in North Carolina
Must be willing to travel to offices for business or onsite team meetings as needed

Benefits

Comp & perks

Full-time remote work
Travel to Alliance offices, meetings, sponsored events, member/provider/stakeholder meetings, and court hearings as required
Equal opportunity employer