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Care Manager II – Non-Waiver
Alliance HealthPosted 10/19/2026full-timeCharlotte • North Carolina • United StatesJuniorMid-Level💰 $69,592 - $90,469 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing and implementing individualized Plans of Care, utilizing person-centered planning and motivational interviewing techniques. Proficient in navigating Medicaid requirements and ensuring compliance with clinical documentation standards.
Highest-signal resume keywords
Licensed Clinical Social Worker (LCSW)Motivational InterviewingPerson Centered PlanningPlans of Care DevelopmentMedicaid Knowledge
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, yearly, or at changes in condition
- Develop Plans of Care and assign interventions and activities to Care Workers and Community Health Workers
- Submit referrals to the Integrated Health Consultant for complex physical or behavioral health needs
- Assist members or legally responsible persons in choosing service providers objectively
- Evaluate service appropriateness and ensure implementation of Plans of Care
- Use person-centered planning, motivational interviewing, and historical assessment review in Jiva
- Collaborate with care teams, members, and service providers to develop individualized plans
- Submit documentation to Utilization Management and troubleshoot until authorization is obtained
- Provide education and support regarding rights, grievances, appeals, service options, providers, and payer requirements
- Recognize and report critical incidents and provider quality concerns
- Coordinate transitions to appropriate levels of care and lead team conference calls
- Monitor member status, care needs, service adherence, and customer satisfaction
- Obtain, upload, and share supporting clinical, legal, guardianship, consent, and release documentation
- Open episodes in Jiva and document member updates and activities according to organizational procedures
- Escalate complex cases and concerns to the Supervisor
- Ensure clinical documentation meets state, agency, and Medicaid requirements
- Travel weekly throughout Mecklenburg County to meet members, providers, and community stakeholders
- Travel between Alliance offices and attend meetings, events, 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 the State of North Carolina as a LCSW, LMFT, LCAS, LCMHC, or LPA
- OR graduation from a school of nursing and licensure as a Registered Nurse with two years of full-time MH/SUD and/or I/DD experience
- Must be licensed as a Registered Nurse in the State of North Carolina
- Physical Health experience preferred
- 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 basic, enhanced MHSUD, and waiver benefits plans
- Knowledge of and skill 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 skills
- High level of diplomacy and discretion
- Ability to make prompt, independent decisions based upon relevant facts
- Satisfactory background and MVR check required 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
ATS Keywords
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Hard Skills
Comprehensive AssessmentsService Provider CoordinationClinical DocumentationBehavioral Health ExperienceMental Health ExperienceDiagnostic and Statistical Manual of Mental DisordersSIS for IDDFASN Assessment for TBIUtilization ManagementMicrosoft Office Proficiency
Soft Skills
Interpersonal CommunicationConflict ManagementDecision MakingDiplomacyDiscretion
Tools & Technologies
Jiva
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
Mental HealthSubstance Use Disorder (SUD)Intellectual/Developmental Disabilities (I/DD)Person Centered ThinkingMedicaid Waiver Benefits