Innovations Care Manager

Vaya Health

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

Posted 9/30/2026full-timeRemote • North Carolina • United StatesJuniorMid-Level💰 $54,007 - $70,209 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, health risk assessments, and person-centered care planning for individuals with I/DD and TBI. Proficient in crisis intervention, service delivery monitoring, and effective communication with interdisciplinary teams and community stakeholders.

Highest-signal resume keywords

Care CoordinationHealth Risk AssessmentCrisis InterventionPerson-Centered Care PlanningNorth Carolina Qualified Professional

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health Risk AssessmentCare ManagementCrisis InterventionMedication ReviewService Authorization RequestsData AnalysisScreening AdministrationLong-Term Services and Supports CoordinationHome Community Based Services CoordinationDocumentation

Soft Skills

Effective CommunicationCollaborationProblem SolvingSelf-Management Strategies

Tools & Technologies

Microsoft OfficeVaya SystemsCare Management Platform

Certifications & Qualifications

North Carolina Board of Nursing LicenseNorth Carolina Qualified Professional

Industry Keywords

I/DDTBIBehavioral HealthMental HealthSocial Resource NetworksTransitional Care ManagementMedicaid EligibilityInterdisciplinary Care TeamsCommunity StakeholdersCritical Incident Reporting

About the role

Key responsibilities & impact

Provide proactive intervention and coordination of care to eligible Vaya Health members and recipients
Conduct comprehensive Health Risk Assessments covering behavioral, physical, developmental, social, and resource needs
Develop and update person-centered care plans with members and interdisciplinary care teams
Link members with appropriate services and supports across medical, behavioral health, I/DD, TBI, pharmacy, LTSS, and social-resource networks
Administer PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other screenings within scope
Provide education, self-management strategies, referrals, and therapeutic-support linkages
Review and document medication information in Vaya’s Care Management platform
Participate in interdisciplinary care team meetings, multidisciplinary huddles, case staffings, and high-risk team meetings
Provide crisis intervention, coordination, transitional care management, and diversion support
Coordinate transitions between levels of care and help prevent institutional placement or rehospitalization
Monitor service delivery, conduct announced and unannounced visits, and identify provider non-compliance
Ensure member health and safety, report critical incidents, and escalate concerns
Verify Medicaid eligibility and coordinate related changes or deductibles
Create and maintain accurate care-management documentation and Service Authorization Requests
Collaborate with providers, Vaya departments, community stakeholders, members, families, caregivers, and natural supports
Participate in required training and perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in health, psychology, sociology, social work, nursing, or another relevant human services field
Two years of experience working directly with individuals with I/DD or TBI
Two years of prior Long-Term Services and Supports and/or Home Community Based Services coordination, care delivery monitoring, and care management experience
Must meet the criteria of being a North Carolina Qualified Professional with the population served under 10A NCAC 27G .0104
If Bachelor’s degree is in a field other than Human Services, four years of full-time accumulated experience with the population served
If Bachelor’s degree is in Nursing and incumbent is an RN, four years of full-time accumulated experience with the population served
If Master’s degree in Human Services, at least two years of full-time accumulated experience with the population served
If Bachelor’s degree in Nursing and RN, must be licensed by the North Carolina Board of Nursing to practice in North Carolina
Proficiency with Microsoft Office products, Vaya systems, care management platform, data analysis, and secondary research
Knowledge of the Diagnostic and Statistical Manual of Mental Disorders (current version)
Knowledge of MH/SU/IDD/TBI service arrays
Ability to express ideas clearly and communicate effectively
Ability to drive and sit for extended periods, including in rural areas
Ability to complete and maintain required Vaya trainings and proficiencies
Required residency in North Carolina or within 40 miles of the North Carolina border
Required to live in or near Polk, Rutherford, or Cleveland County to effectively deliver in-person contacts
Must be able to travel

Benefits

Comp & perks

Eligible for overtime compensation
Non-exempt position
Mobile/remote work arrangement
Equal opportunity employer