Care Manager – LP

Vaya Health

. Provide proactive intervention and coordination of care to eligible Vaya Health members and recipients .

Posted 9/15/2026full-timeRemote • North Carolina • United StatesJuniorMid-Level💰 $62,994 - $75,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting comprehensive health risk assessments, developing person-centered care plans, and providing crisis intervention and care management. Proficient in clinical assessments and maintaining compliance with relevant regulations and standards.

Highest-signal resume keywords

Master's Degree in Health or Related FieldNorth Carolina Qualified Professional QualificationValid Licensure: RN, LCSW, LCMHC, etc.Experience in Behavioral Health and LTSS CoordinationProficiency in Microsoft Office and Vaya Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health Risk AssessmentPerson-Centered Care PlanningCrisis InterventionClinical AssessmentMedication ManagementData AnalysisScreening Administration (PHQ-9, GAD, etc.)Compliance MonitoringCare ManagementInterdisciplinary Team Collaboration

Soft Skills

Problem-SolvingNegotiationConflict ResolutionOrganizational SkillsInterpersonal Skills

Tools & Technologies

Vaya Care Management PlatformMicrosoft Office Suite

Certifications & Qualifications

RNLCSWLCMHCLCASLMFT

Industry Keywords

Behavioral HealthLTSSHCBSNC MedicaidDiagnostic and Statistical Manual of Mental DisordersMental Health ServicesI/DDTBIAccreditation RequirementsSocial Determinants of Health

About the role

Key responsibilities & impact

Provide proactive intervention and coordination of care to eligible Vaya Health members and recipients
Conduct comprehensive bio-psycho-social Health Risk Assessments covering social determinants of health, behavioral and physical health, daily living activities, and resource access
Develop, update, and monitor person-centered care plans, crisis plans, and treatment goals
Link members with formal and informal services and supports across medical, behavioral health, I/DD, TBI, pharmacy, LTSS, and unmet health-related resource needs
Administer PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other needs-based screenings
Review and transcribe medications and maintain multisource medication lists in Vaya’s care management platform
Participate in and facilitate interdisciplinary care team meetings and complex case staffing
Provide clinical consultation and technical support to providers; review clinical assessments for accuracy and completeness
Provide clinical assessments when lack of a clinical home or network provider creates significant member risk
Provide crisis intervention, coordination, and care management in community settings
Support transitional care management and coordinate diversion efforts for members at risk of institutional placement
Collaborate with members, legally responsible persons, caregivers, providers, Vaya staff, DSS, DJJ, CCNC, schools, and community stakeholders
Monitor service provision, member health and safety, critical incidents, quality of care, and compliance
Verify continuing Medicaid eligibility and respond to members’ movement outside Vaya’s catchment area
Create and monitor accurate, timely documentation in the administrative health record
Maintain compliance with HIPAA, ROI practices, Vaya policies, NCDHHS requirements, and contractual obligations
Participate in trainings, committees, workgroups, huddles, and other departmental projects
Travel and conduct work in members’ home communities and other locations

Requirements

What you’ll need

Master’s degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human services area
North Carolina Qualified Professional qualification with the population served under 10A NCAC 27G .0104
Valid licensure required: RN, LCSW, LCSWA, LCMHC, LCMHCA, LCMHCS, LPA, HSP-PA, LCAS, LCASA, LMFT, or LMFTA
For non-nursing master’s degree holders: two years of experience working directly with individuals with behavioral health conditions
For non-nursing master’s degree holders serving LTSS needs: two years of LTSS and/or HCBS coordination, care delivery monitoring, or care management experience; may be concurrent with behavioral health, I/DD, or TBI experience
For master’s degree holders in nursing: four years of full-time accumulated mental health experience with the population served; experience may be before or after RN licensure
Ability to complete and maintain all required Vaya trainings and proficiencies
Ability to perform clinical assessments using higher-level clinical training and licensure
Extensive understanding of the current Diagnostic and Statistical Manual of Mental Disorders within scope
Considerable knowledge of the MH/SU/IDD/TBI service array
Intermediate to advanced proficiency in Microsoft Office products and Vaya systems, including care management platform, data analysis, and secondary research
Knowledge of NC Medicaid, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements preferred
Ability to drive and sit for extended periods, including in rural areas
Must reside in North Carolina or within 40 miles of the North Carolina border
Must live in or near the counties served to effectively deliver in-person member contacts
Ability to communicate clearly and effectively
Strong problem-solving, negotiation, arbitration, conflict-resolution, organizational, and interpersonal skills

Benefits

Comp & perks

Exempt position; not eligible for overtime compensation
Required Vaya/Care Management trainings and maintained training proficiencies
Equal opportunity employer