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Case Manager II - Tailored Care Management (TCM) - Carolina Family Patient Support Services

Carolina Family Health Centers

Wilson, North Carolina

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JOB DETAILS
SKILLS
Basic Life Support (BLS), Behavioral Health, Case Management, Communication Skills, Community Health, Computer Skills, Customer Support/Service, Dental Insurance, Documentation Plan, Driver's License, Emergency Care, Environmental Health, Health Plan, Healthcare, Healthcare Providers, Healthcare Quality, Improvement Metrics, Insurance, Interpersonal Skills, Licensed Clinical Social Worker (LCSW), Lift/Move 50 Pounds, Medicaid, Medical Record System, Nonprofit, Nursing, Office Equipment, Patient Admissions, Patient Assessment, Patient Care, Pharmacy, Primary Care, Project/Program Management, Quality Management, Quality Metrics, Risk, Team Player, Vision Plan
LOCATION
Wilson, North Carolina
POSTED
6 days ago
Come join our “Family” and be part of providing healthcare In the Community…For the Community.
 
Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence…where patients come first. Regardless of an individual’s ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care.
 
As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy, and dental services as an integrated model that provides a comprehensive approach to care for our patients.
 
Position Overview
A Case Manager II in Tailored Care Management works directly with patient day-to-day as a vital member of Carolina Family Patient Services. This position is responsible for providing tailored care management services to a specified panel of patients within the clinical setting. Those in this position report to the Tailored Care Management Program Manager.
 
THIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, BI-ANNUAL BONUS, 12 PAID HOLIDAYS, BI-WEEKLY PAY.
 
Essential Tasks
  • Provide behavioral and medical care management to low, medium, and high-risk patients.
  • Perform annual comprehensive assessments to evaluate patients behavioral and medical healthcare needs and social determinants of health to develop individualized and person-centered care plans using a collaborative approach including patient and family participation, where possible.
  • Collaborate with community agencies for referral resources to assist patients and utilize NCCARE360.
  • Establish and document a care plan with the patient and/or family members. Update and document care plans as the patients; needs change and/or to address gaps in care.
  • Identify patients with recent emergency department visits or hospital admissions, and assist with transitions back to primary care providers and behavioral health providers.
  • Work toward improving overall quality metrics rating by bringing members into compliance and closing gaps in care.
  • Performs other duties as assigned.
 
Experience and Education
  • Qualifications are aligned with the North Carolina Medicaid definition of a Qualified Professional per 10A-NCAC 27G.0104.
  • Associate's, Bachelor's, or Master's Degree in Nursing with applicable post-graduate experience with the population being served as outlined below.  Individuals may also be a Licensed Clinical Social Worker or Licensed Clinical Addictions Specialist.
  • Individuals with an Associate's, Bachelor's, or Master's Degree in Nursing are required to have four years of full-time applicable post-graduate experience with the population being served.
  • Effective communication and interpersonal skills.
  • Must demonstrate the skills and judgement necessary to provide direct care to patients under the direct supervision of the Supervising Tailored Care Manager.
  • Strong computer skills and working knowledge of the windows-based environment and Electronic Health Record (EHR) experience.
 
Schedule
Monday to Friday
8 am – 5 pm
8-hour shift
On site
 
Physical Requirements
  • Constant standing and walking, occasional bending, stooping, lifting, reaching forward and overhead.
  • May occasionally be required to lift patients, office equipment and paper, usually not exceeding fifty pounds of direct lift.
  • Frequent computer work required.
 
Benefits
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Professional development assistance
  • Vision insurance
 
Job Type
Full-time
 
License/Certification
  • BLS Certification
  • North Carolina Driver’s License
     
Base Pay Overview
The starting pay for this position is $31.50 hourly. Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the role.
 

About the Company

C

Carolina Family Health Centers