MHSU Care Management Manager
GENERAL STATEMENT OF JOB:
Mental Health/Substance Use(MHSU) Care Management (CM)Manager is responsible for providing day to day coaching to assigned MHSU Care Management staff to ensure responsibilities are carried out effectively and accurately. MHSU Care Management Manager is also responsible for knowing and implementing NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services standards and organizational policies.
MHSU Care Management Manager is responsible for providing oversight of the MHSU Care Management team through providing proactive intervention and coordination of care to eligible members identified as Special Health Care Needs, Complex Care Management or High-Risk High Cost populations to ensure that these individuals receive appropriate assessment and services. The MHSU Manager is responsible for determining eligibility for care management and assigning to and managing staff caseloads. The MHSU Care Management Manager may work with staff, and members if necessary, in the communities. MHSU Care Management Manager works with the assigned Care Manager, member and care team to alleviate inappropriate levels of care or care gaps, coordinate multidisciplinary team care planning, linkage and/or coordination of services across the MH/SU/I/DD and other healthcare network(s). MHSU Care Management Manager works with the assigned Care Manager who may also provide administrative transition planning assistance to local hospitals and other institutions. This is a mobile position with work done in a variety of locations [i.e. member’s home community, provider office(s)]. MHSU Care Management Manager also works with other staff, members and family members, providers as well as community stakeholders. Essential job functions include, but may not be limited to:
*Must reside in North Carolina
Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee. The individual filling this position shall also sign a confidentiality statement as an employee.
ESSENTIAL JOB FUNCTIONS:
Clinical Assessment, Care Planning & Interdisciplinary Care Team:
MHSU Care Management Manager will ensure MHSU Care Managers have knowledge of duties described below and carry out these duties by providing direct supervision:
QUALIFICATIONS & CREDENTIALING REQUIREMENTS:
A Master's Degree in A field related to health, psychology, sociology, social work, nursing, or another relevant human services area or licensure as an RN with three (3) years of experience providing care management, case management, or care coordination to the population being served
PHYSICAL REQUIREMENTS:
KNOWLEDGE OF JOB:
LICENSURE:
A license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession (examples include LCSW, LMFT, LCAS, LCMHC, LPA, RN).
*If RN, licensure as a North Carolina RN (see education section)
LOCATION REQUIREMENT:
In accordance with the BH and I/DD Tailored Plan requirements mandated by the NC Department of Health and Human Services, certain Vaya Health positions are required to be filled by individuals who reside in North Carolina, meaning someone who establishes a legal domicile in North Carolina and pays income tax in North Carolina, or resides within 40 miles of the North Carolina border. New hires from outside of North Carolina will have 60 days from the date of hire to meet this requirement, if applicable to the position.
This position is required to reside in North Carolina or within 40 miles of the North Carolina Boarder.
SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.
MHSU Care Management Manager
GENERAL STATEMENT OF JOB:
Mental Health/Substance Use(MHSU) Care Management (CM)Manager is responsible for providing day to day coaching to assigned MHSU Care Management staff to ensure responsibilities are carried out effectively and accurately. MHSU Care Management Manager is also responsible for knowing and implementing NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services standards and organizational policies.
MHSU Care Management Manager is responsible for providing oversight of the MHSU Care Management team through providing proactive intervention and coordination of care to eligible members identified as Special Health Care Needs, Complex Care Management or High-Risk High Cost populations to ensure that these individuals receive appropriate assessment and services. The MHSU Manager is responsible for determining eligibility for care management and assigning to and managing staff caseloads. The MHSU Care Management Manager may work with staff, and members if necessary, in the communities. MHSU Care Management Manager works with the assigned Care Manager, member and care team to alleviate inappropriate levels of care or care gaps, coordinate multidisciplinary team care planning, linkage and/or coordination of services across the MH/SU/I/DD and other healthcare network(s). MHSU Care Management Manager works with the assigned Care Manager who may also provide administrative transition planning assistance to local hospitals and other institutions. This is a mobile position with work done in a variety of locations [i.e. member’s home community, provider office(s)]. MHSU Care Management Manager also works with other staff, members and family members, providers as well as community stakeholders. Essential job functions include, but may not be limited to:
*Must reside in North Carolina
Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee. The individual filling this position shall also sign a confidentiality statement as an employee.
ESSENTIAL JOB FUNCTIONS:
Clinical Assessment, Care Planning & Interdisciplinary Care Team:
MHSU Care Management Manager will ensure MHSU Care Managers have knowledge of duties described below and carry out these duties by providing direct supervision:
QUALIFICATIONS & CREDENTIALING REQUIREMENTS:
A Master's Degree in A field related to health, psychology, sociology, social work, nursing, or another relevant human services area or licensure as an RN with three (3) years of experience providing care management, case management, or care coordination to the population being served
PHYSICAL REQUIREMENTS:
KNOWLEDGE OF JOB:
LICENSURE:
A license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession (examples include LCSW, LMFT, LCAS, LCMHC, LPA, RN).
*If RN, licensure as a North Carolina RN (see education section)
LOCATION REQUIREMENT:
In accordance with the BH and I/DD Tailored Plan requirements mandated by the NC Department of Health and Human Services, certain Vaya Health positions are required to be filled by individuals who reside in North Carolina, meaning someone who establishes a legal domicile in North Carolina and pays income tax in North Carolina, or resides within 40 miles of the North Carolina border. New hires from outside of North Carolina will have 60 days from the date of hire to meet this requirement, if applicable to the position.
This position is required to reside in North Carolina or within 40 miles of the North Carolina Boarder.
SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.
MHSU DSS Embedded Care Manager
GENERAL STATEMENT OF JOB:
The MHSU Care Manager (CM)- DSS, hereafter referred to as DSS CM, is a unique position within the Mental Health/Substance Use (MHSU) Care Management Team who is co-located at our local Department of Social Services (DSS). This positions is responsible for all the MHSU Care Manager aspects as well as consultation, education, focused communication, and system navigation for DSS social workers.
Provides proactive intervention and coordination of care to eligible members identified as Special Health Care Needs, Complex Care Management or High-Risk High Cost populations to ensure that these individuals receive appropriate assessment and services, with a focus on those members and families involved with DSS. Works with the member and care team to alleviate inappropriate levels of care or care gaps through assessment, multidisciplinary team care planning, linkage and/or coordination of services across the MH/SU/IDD and other healthcare network(s) with existing or new care team members. Supports clinical transition planning assistance to local hospitals and tracks individuals discharged from state and community hospitals to ensure they follow up with aftercare services and receive needed assistance to prevent further hospitalization. Point of contact for supporting DSS emergency placement issues.
This is a mobile position with work done in a variety of locations but primarily co-located with the local Department of Social Services and in members home communities. Essential job functions of the MHSU Care Managers include, but may not be limited to:
*Must reside in North Carolina
Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health.
ESSENTIAL JOB FUNCTIONS:
Consultation, Collaboration, System Navigation:
Clinical Assessment:
Care Planning & Interdisciplinary Care Team:
Other duties as assigned.
QUALIFICATIONS & CREDENTIALING REQUIREMENTS:
Bachelor's Degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area or licensure as an RN* (see licensure section) and the following experience:
OR, a combination of education and experience as follows:
Meet North Carolina’s Qualified Professional Definition: graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, post-bachelor's degree accumulated MH/DD/SA experience with the population served, or a substance abuse professional who has four years of full-time, post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
*Full-time Mental Health/Developmental Disabilities/Substance Abuse Services experience required for credentialing as a Qualified Professional may be obtained before or after obtaining the educational degree.
PHYSICAL REQUIREMENTS:
KNOWLEDGE OF JOB:
LICENSURE:
*If RN, licensure as an North Carolina RN (see education section)
LOCATION REQUIREMENT:
In accordance with the BH and I/DD Tailored Plan requirements mandated by the NC Department of Health and Human Services, certain Vaya Health positions are required to be filled by individuals who reside in North Carolina, meaning someone who establishes a legal domicile in North Carolina and pays income tax in North Carolina, or resides within 40 miles of the North Carolina border. New hires from outside of North Carolina will have 60 days from the date of hire to meet this requirement, if applicable to the position.
This position is required to reside in North Carolina or within 40 miles of the North Carolina Boarder.