MHSU Care Manager (QP or Licensed)-Adult Team (Remote)

Position eligible for – 

• Annual incentive bonus plan
• Medical, dental, and vision insurance with low deductible/low cost health plan
• Generous vacation and sick time accrual
• 12 paid holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company paid life and disability insurance
• Wellness Programs

See attachment for additional details. 

Office Location:  Available for any of our office locations; Remote option available.

Projected Hiring Range:  Depending on Experience

Closing Date:   Open Until Filled

Primary Purpose of Position:

The Mental Health Substance Use Care Manager focuses on working closely with community hospitals, providers, and stakeholders to engage adults and/or children/adolescents in mental health/substance use services. This position is responsible for providing proactive intervention and care management (treatment planning, assessment, referral/linkage, and monitoring) to ensure that members and recipients receive appropriate assessment, oversight and services. This is a mobile position with work done in a variety of locations.

Role and Responsibilities:  

• Provide education, referrals, care management activities surrounding available services and supports including Physical Health, Behavioral Health, I/DD, LTSS, TBI, Pharmacy, Vision, and Dental services/supports.
• Link to needed behavioral health and physical health care services and facilitating appropriate connections to primary healthcare services through Community Care of North Carolina, the Health Department, or other community health resources
• Coordinating and linking members to benefits
• Complete initial and yearly Care Management Comprehensive Assessment and Care Plan
• Conduct Care Team meetings and ensure treatment team members participate in treatment team meetings to address the needs of the member
• Conduct continuous monitoring of progress towards goals identified in Care Plan through in-person and collateral contacts with the member and member’s supports, including family, information and formal caregivers and routine care team reviews
• Identify the gaps in needed services and intervene as needed to ensure the member receives appropriate care
• Identify and refer member to community resources
• Oversee care transitions for members who are moving from one clinical setting to another
• Maintain accurate tracking and data information for care management activities and outcomes  including tracking of individuals in and out of services, those who are on waiting lists, those who need follow-up, and those on outpatient commitments

Collaboration 

• Serves as a collaborative partner in identifying system barriers through work with community stakeholders
• Manages and facilitates Child/Adult High Risk Team meetings in collaboration with DSS, DJJ, school systems, CCNC Care Managers, and other community stakeholders as appropriate
• The MHSU Care Manager may work with members in the communities
• Works in partnership with other LME/MCO departments to address identified needs within the catchment area

Knowledge, Skills and Abilities: 

• Extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version)
• Considerable knowledge of the MHSU/IDD service array provided through the network of the LME/MCO’s providers
• Knowledge of LME/MCO’s implementation of the 1915(b/c) waivers and accreditation
• Highly skilled at assuring that both long and short-range goals and needs of the individual are addressed and updated, while assuring through monitoring activities that service implementation occurs appropriately
• Exceptional interpersonal and communication skills
• Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and PowerPoint) 
• Excellent problem solving, negotiation, arbitration, and conflict resolution skills
• Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish
• Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships
• Ability to change the focus of his/her activities to meet changing priorities
• A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance

Education/Experience Required:

Qualified Professional Care Manager:

-or-

-or-

-or-

Licensed Care Manager:

• Current unrestricted LCSW, LCMHC, LPA, LMFT, LCAS, or RN licensure with the appropriate professional board of licensure in the state of North Carolina.  
• Employee is responsible for complying with respective licensure board’s continuing education/training requirements in order to maintain an active license.

Other requirements:  

1. Must reside in North Carolina.
2. Must have ability to travel as needed to perform the job duties

Education/Experience Preferred:     Above requirements

Licensure/Certification Requirements:  Above requirements