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Care Manager
Community Care of North Carolina. Assess, plan, implement, coordinate, monitor, and evaluate health care options and services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management, including comprehensive assessments, care plan development, and effective communication with multidisciplinary teams. Proficient in applying trauma-informed care and motivational interviewing techniques while adhering to HIPAA regulations and case management principles.
Highest-signal resume keywords
Registered Nurse (RN) LicenseCCM CertificationComprehensive AssessmentsCare Plan DevelopmentMultidisciplinary Team Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementComprehensive Medical AssessmentsBehavioral AssessmentsCultural AssessmentsSMART Goal SettingTrauma-Informed CareMotivational InterviewingSolution-Focused TechniquesCase Management PrinciplesKnowledge of Federal and State Regulations
Soft Skills
Strong Organizational SkillsTime Management SkillsCritical ThinkingEffective Clinical JudgmentProblem-Solving AbilitiesExcellent Communication SkillsSensitivity to Cultural Diversity
Tools & Technologies
Care Management PlatformElectronic Medical Record SystemOffice Software
Certifications & Qualifications
Registered Nurse (RN)CCM CertificationLicensed Clinical Social Worker (LCSW)
Industry Keywords
Health Care OptionsCare Management ServicesCommunity-Based ServicesHIPAA RegulationsNorth Carolina Nursing License
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- Registered Nurse (RN): graduation from an accredited school of nursing
- Registered Nurse (RN): active, unrestricted RN license to practice in North Carolina
- Registered Nurse (RN): minimum 2 years’ nursing experience
- Registered Nurse (RN): CCM certification preferred; certification must be obtained within 1 year of eligibility per CCM requirements
- Registered Nurse (RN): meets licensure or educational eligibility requirements determined by The Commission for Case Management Certification
- Social Worker: Master’s degree from an accredited school of social work
- Social Worker: minimum 2 years’ social work experience
- Social Worker: active NC license as a Licensed Clinical Social Worker (LCSW)
- Social Worker: CCM certification preferred; certification must be obtained within 1 year of eligibility per CCM requirements
- Social Worker: meets licensure or educational eligibility requirements determined by The Commission for Case Management Certification
- Access to Hospital/Data or Electronic Medical Record system as necessary
- Valid driver’s license with current auto liability insurance
- Computer skills, including office software and internet
- Knowledge of government, private-sector, and community resources
- Knowledge of case management principles and applicable federal and state regulations
- Strong organizational and time management skills
- Critical thinking, effective clinical judgment, independent decision-making, and problem-solving abilities
- Ability to work independently and as part of a multidisciplinary team
- Excellent oral and written communication skills; bilingual preferred
- Sensitivity to cultural diversity, language barriers, health literacy, and educational levels
Benefits
Comp & perks- Remote work within assigned regions
- Travel using personal vehicle required within the region and/or State
- Professional development through local and regional training
- Departmental and corporate meetings and events