IDD Care Manager Caldwell County & Surrounding Areas

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services! Provides whole person, integrated care management in service sites, homes and communities through face to face and other interactions and through the work of integrated care teams. Promotes whole person care directed at better health outcomes and addressing all needs spanning physical and behavioral health, I/DD, pharmacy, and unmet health related resources. Ensures sustained high quality of care and services to persons with mental health, substance use and/or developmental disabilities. Complies with company, state and federal policy. This is a hybrid position. It is a community-based position, and it does require travel within and surrounding the county. It offers some flexibility in the structure of the schedule. Required Education/Experience: Education- For all populations served, Care Managers must meet at least ONE of the following qualifications to meet the criteria as a Qualified Professional (QP), per 10A NCAC 27 .0104: A master’s degree in a human service field AND at least one year of full-time experience working with the MH/SU/IDD population; A bachelor’s degree in a human service field AND at least two years of full-time experience working with the MH/SU/IDD population; A bachelor’s degree in a non-human service field AND at least four years of full-time experience working with the MH/SU/IDD population. Experience- For care managers serving members with LTSS needs: Must meet at least one of the qualifications to meet QP criteria, as stated above AND Two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience. (This experience may be concurrent with the years of experience required to become a Qualified Professional.) Care managers need to have care coordination, care management, or case management experience. Other requirements: Valid driver’s license, Clinical license preferred, Reliable transportation. Responsibilities: Care Management Service Delivery – Fosters and facilitates the care management process. Conducts Care Management Comprehensive Assessments, shares information and facilitates Tailored Care Management Planning with the person supported and other team members. Monitors the ongoing care management plan implementation and facilitates Care Plan Updates every 12 months minimally or when there is significant change of circumstance or need or at the request of the person supported. Implements workflows, policies and procedures, and documentation standards that promote whole person care. Maintains a positive and professional image in the work setting and community. Follows policies and procedures to ensure accountability of service delivery. Best Practices – Demonstrates a passion for positive change by continuously improving and defining innovative care management interventions. Stays up to date with current best practices and keeps the team continuously informed about best practice innovations. Cross-functional Collaboration - Collaborates cross-functionally with other Integrated Care Team members, community organizations and RHA departments to ensure success of Care Management implementation. Person-Centered Approach – Maintains a person-centered philosophy focusing on an individual’s strengths, needs, and preferences that promote health, wellness, and safety. Fosters a person-centered culture with Care Management Teams to optimize individual education around self-management, disease management, and integrated healthcare planning. Quality Assurance and Use Of Data - Implements the strategic use of data to support delivery of effective, integrated, and well-coordinated care management services. Ensures individual data sharing and storage consistent with state and company policies. Maintains a Safe and Healthy Environment- Implements all organization health and safety policies and procedures. Financial Performance - responsible for documenting services provided in a timely manner in order to be appropriately accounted for reimbursement purposes. Ensures proactive and effective communication - Establishes and maintains frequent and regular communication with persons supported, family members, other team members and colleagues. Fosters open communication and feedback. Helps maintain focus on care planning goals and outcomes. Establishes and maintains strong external relationships, to include providers, community organizations, Clinically Integrated Networks (CIN). Ethics & Compliance – Supports and participates in an ethical culture in conjunction with the RHA Code of Conduct and Ethics and Compliance Program, emphasizing confidentiality and no retaliation policies. Directs the confidential and immediate investigation into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and violations of ethics and compliance practices according to company policy. Ensures protections of individuals served during investigations. Ensures all external reporting requirements are followed. Ensures adequate follow-through on recommendations from investigation reports. Participates as assigned as designated members to Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force and Human Rights Committee meetings. Performs all other related duties as assigned.