Top 15679 Care manager Jobs in North Carolina

Care Manager II (Full Time, Remote, North Carolina Based)
Alliance Health —Charlotte, NC
- $69,592 - $90,469 a year
- Full-time
- LMFT
- Nursing
- Microsoft Excel
2d
Case Manager
NC Behavior —Charlotte, NC
- Full-time
- Mid-level
- Children
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
Population Health Care Manager II, MSW
WakeMed Health & Hospitals —Raleigh, NC
- Full-time
- Master of Social Work
- Licensed Clinical Social Worker
- Mid-level
Care Manager 1 - Non-Clinical -Statewide
Community Care of North Carolina Inc —Garner, NC
- Full-time
- Bilingual
- Nursing
- RN License
- Benefits from day one
Quick Apply
Payor Specialist
Atrium Health —Charlotte, NC
- $21.85 - $32.80 an hour
- Part-time
- Customer service
- Writing skills
- English
- Paid parental leave
- Disability insurance
LTSS Service Care Manager
Sunshine State Health Plan —North Carolina
- $27.02 - $48.55 an hour
- Full-time
- Remote
- Customer service
- Licensed Clinical Social Worker
- Mid-level
- Paid holidays
- Health insurance
4d
Remote Clinical Quality Improvement Coordinator
Guidehealth —Winston-Salem, NC
- $28 - $30 an hour
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- LPN
- Paid parental leave
- Disability insurance
Manager, Operations-Health Information Management *hybrid*
WakeMed Health & Hospitals —Raleigh, NC
- Full-time
- Hybrid work
- Management
- Senior level
- Associate's degree
Care Management Professional
Carolina Outreach —Raleigh, NC
- $25.00 - $32.10 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
3d
Care Manager 1 - Non-Clinical -Robeson/Bladen County
Community Care of North Carolina Inc —Lumberton, NC
- Full-time
- Hybrid work
- Bilingual
- Nursing
- RN License
- Health savings account
- Disability insurance
Quick Apply
Community Health Worker (Remote, North Carolina)
Alliance Health —Fayetteville, NC
- $26.27 - $34.14 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Disability insurance
- Health insurance
11d
Child Welfare Residential Case Aide (Full-Time, Temporary)
Wake County Government —Raleigh, NC
- $20.00 - $29.36 an hour
- Temporary
- Writing skills
- Residential
- High school diploma or GED
RN Clinical Nurse II - Staffing Response Team (School Schedule)
UNC Health —Raleigh, NC
- $33.88 - $47.91 an hour
- Full-time
- Nursing
- Float pool
- RN License
- Relocation assistance
- Paid time off
Home Care RN - Albertson
Avid Health at Home —Albertson, NC
- Part-time
- Bilingual
- Nursing
- Patient monitoring
- AD&D insurance
- Paid holidays
Quick Apply
Nurse Practitioner
Piedmont Nephrology & Hypertension Associates, PA —Hickory, NC
- $85,000 - $95,000 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Profit sharing
- Paid holidays
Quick Apply
Registered Nurse (RN) – ACTT Team
Pyramid Healthcare —Jacksonville, NC
- $65,000 - $70,000 a year
- Full-time
- Clean driving record
- Vital signs
- Addiction Medicine
- Paid holidays
- Health insurance
Head of E Commerce/ AI
Alexander Industries LLC —Holly Ridge, NC
- From $60,000 a year
- Email
- Merchandising
- Office
- Fair chance
- Paid time off
- Employee discount
Quick Apply
Float APP Position - Fayetteville, Hope Mills, and Lumberton
FastMed —Durham, NC
- Full-time
- Float pool
- Customer service
- BLS Certification
- Mileage reimbursement
Quick Apply
DSP (Direct Support Professional) -- Asheville 1st and 2nd Shift
Blue West Opportunities —Asheville, NC
- $16.00 - $18.50 an hour
- Part-time
- 18 years or older
- Experience working with individuals with developmental disabilities
- CPR Certification
- Disability insurance
- Health insurance
Quick Apply
Private Duty Nurse (PDN)- RN - Overnight shifts available
Avid Health at Home —Wilmington, NC
- $28 - $33 an hour
- 8 hour shift
- Nursing
- RN License
- HIPAA
- Health insurance
- Dental insurance
Quick Apply

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care manager jobs near north carolina

Care Manager II (Full Time, Remote, North Carolina Based)

Alliance Health -
Charlotte, NC

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Job Details

Full-time
$69,592 - $90,469 a year
2 days ago

Qualifications

Customer communication
Master's degree
Conflict management

Full Job Description

The Care Manager II position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.

This is a full-time remote opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Mecklenburg Office (Charlotte, North Carolina) for business meetings as needed. The successful candidate will also be required to travel as needed throughout Mecklenburg and surrounding counties to meet with members, providers and/or other community stakeholders.

Responsibilities & Duties-

Complete Assessment/Planning

Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues
Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process
Consistently evaluates appropriateness of services and ensures implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratificatio
Utilize person centered planning, motivational interviewing and historical review of assessments in Jiva to gather information and to identify supports needed for the individual
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services and trouble shoot until authorization is obtained. Notify providers of successful authorization

Provide Support and Monitoring

Schedule initial contact with member to verify accuracy of demographic information.
Update inaccurate information from the Global Eligibility File
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Refer members who are in crisis/institutional care settings and require assistance with returning to community-based services, to the Integrated Health Consultant
Recognize and report critical incidents and provider quality concerns to supervisors and Quality Management
Complete activities in JIVA related to Plans of Care developed from the Care Management Comprehensive Assessment
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Attend treatment meeting with member, natural supports and selected providers.
Schedule, coordinate and lead team conference calls on behalf of member needs
Communicate with member to check on status, verify care needs are met and that no new clinical needs warrant a change in condition assessment.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify that ongoing service adherence is maintained through monitoring.

Complete Documentation

Obtain and upload all supporting documentation, Legally Responsible Person (LRP) verification, and release of information that will improve care management activity on behalf of the member
Open new episodes in JIVA and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Escalate complex cases and cases of concern to Supervisor.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Share appropriate documentation with all involved stakeholders as consent to release is granted.
Obtain releases/documentation and provides to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency documentation standards, and Medicaid requirements

Travel

Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc may be required
Travel to meet with members, providers, stakeholders, attend court hearings etc. is required

Minimum Requirements-

Education & Experience

Master’s degree in Human Services or related field and at least two years of full-time, post graduate degree, MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience. Must be fully or provisionally licensed in the State of North Carolina as a LCSW, LMFT, LCAS, LCMHC, LPA;

Graduation from a school of nursing and licensure as a Registered Nurse and two years of full-time MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience and active. Must be licensed as a Registered Nurse in the State of North Carolina.

Physical Health experience preferred

Knowledge, Skills, & Abilities-

Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of Diagnostic and Statistical Manual of Mental Disorders
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
Strong interpersonal and written/verbal communication skills essential, including
Conflict management and resolution skills
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance
Ability to make prompt, independent decisions based upon relevant facts

Salary Range

$69,592 - $90,469/Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

Education

Required

Masters or better in Human Services

Preferred

Nursing or better in Nursing or related field

Licenses & Certifications

Preferred

Lic Clinical MH Counselor
Lic Clinical Social Wkr
Lic Marr & Family Ther
Lic Psychological Assoc
Registered Nurse

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

care manager jobs in north carolina

Care Manager II (Full Time, Remote, North Carolina Based)

Case Manager

Population Health Care Manager II, MSW

Care Manager 1 - Non-Clinical -Statewide

Payor Specialist

LTSS Service Care Manager

Remote Clinical Quality Improvement Coordinator

Manager, Operations-Health Information Management hybrid

Care Management Professional

Care Manager 1 - Non-Clinical -Robeson/Bladen County

Community Health Worker (Remote, North Carolina)

Child Welfare Residential Case Aide (Full-Time, Temporary)

RN Clinical Nurse II - Staffing Response Team (School Schedule)

Home Care RN - Albertson

Nurse Practitioner

Registered Nurse (RN) – ACTT Team

Head of E Commerce/ AI

Float APP Position - Fayetteville, Hope Mills, and Lumberton

DSP (Direct Support Professional) -- Asheville 1st and 2nd Shift

Private Duty Nurse (PDN)- RN - Overnight shifts available

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