Community Care of North Carolina

Manager

• Assess, plan, implement, coordinate, monitor, and evaluate services for enrolled populations
• Develop whole-person plans of care with primary care providers, members, caregivers, families, and care teams
• Complete comprehensive medical, biopsychosocial, behavioral, spiritual, and cultural member assessments
• Identify behavioral, social, cultural, and environmental strengths and barriers
• Educate members and families about diagnoses, medications, resources, prevention, and risk factors
• Set patient-centered SMART goals and monitor intervention quality and effectiveness
• Develop, review, implement, and evaluate member care plans
• Apply trauma-informed care, motivational interviewing, strengths-based, and solution-focused techniques
• Use Hospital/Data or Electronic Medical Record systems as available
• Facilitate referrals to community-based services and agencies
• Refer matters outside the Care Manager’s scope or expertise to appropriate clinical team members
• Collaborate with multidisciplinary teams to achieve treatment outcomes
• Maintain relationships with community provider agencies to promote quality and cost-effective care
• Coordinate services among members, families, guardians, community services, primary providers, specialists, and care teams
• Empower members to advocate for their own care while respecting their values and experience
• Maintain member documentation according to organizational policies and procedures
• Meet monthly productivity and role expectations
• Comply with CCNC policies, privacy and security requirements, and HIPAA regulations
• Attend meetings, training, and other required events
• Travel using a personal vehicle within the region and/or state
• Perform other requested duties

Care Manager

• Assess, plan, implement, coordinate, monitor, and evaluate health care options and services
• Provide effective care management services to enrolled populations
• Complete comprehensive medical, biopsychosocial, behavioral, spiritual, and cultural assessments
• Identify behavioral, social, cultural, and environmental strengths and barriers
• Educate members and families about diagnoses, medications, resources, prevention, and risk factors
• Set patient-centered SMART goals and monitor intervention quality and effectiveness
• Develop, review, implement, and evaluate member care plans with members, families, providers, and care teams
• Apply trauma-informed care, motivational interviewing, strengths-based, and solution-focused techniques
• Facilitate referrals to community-based services and agencies
• Refer matters outside the Care Manager’s scope or expertise to appropriate clinical team members
• Collaborate with multidisciplinary teams and community provider agencies to achieve treatment outcomes
• Coordinate services among members, families, guardians, providers, specialists, and care teams without duplication
• Maintain member documentation in the Care Management platform
• Meet monthly productivity and role expectations
• Follow CCNC policies, privacy and security requirements, and HIPAA regulations
• Attend departmental and corporate meetings, training, and required events
• Travel within assigned regions and/or North Carolina

General

• Conduct continual telephonic outreach to identified and referred members to engage them with care management services
• Receive and manage referrals from data reports, clinical care management team members, PCPs, and other service providers
• Complete and document member screening tools
• Refer clinical needs to the appropriate clinical care management team member for assessment and follow-up
• Schedule members for face-to-face or telephonic care management follow-up encounters
• Meet daily and monthly program productivity and engagement metrics
• Complete assignments within expected timeframes
• Notify the supervisor of referral, assignment, or duty-related issues
• Perform duties that keep operations organized and functional
• Attend departmental and corporate meetings
• Uphold CCNC goals, objectives, standards, department guidelines, company policies, and HIPAA regulations
• Work with members, providers, and staff to implement program interventions, document activities, and refer appropriate members to professional staff

Care Manager

Care Manager

Member Engagement Specialist