Care Manager I-Waiver (Full-time Remote, North Carolina Based)

The Care Manager l - Waiver assures that individuals and families with special health care needs receive integrated whole-person-person centered care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hospitals and emergency services by assuring that appropriate quality care is in place. The Care Manager I focus on a specified population of members utilizing health care services while ensuring all member health needs and referrals are addressed. The Care Manager l will collaborate with other community systems to work in partnership to support the identified population. This position is full time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the home office and within the communities served may be required. Responsibilities & Duties Complete Assessment/Planning Complete comprehensive assessments or Care Needs Screening at enrollment, yearly or at changes in condition Develop Plans of Care derived from the completed assessments Demonstrate commitment to whole person/integrated care Assign interventions/plans of care to applicable Alliance Care Management team member to meet identified member needs, for monitoring, and/or service engagement activities Complete required Screening Tools Retrieve and review historical data to better-understand member’s treatment history Submit referrals to the Transition Coordinator 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 (LRP) in choosing service providers, ensuring objectivity in the process Consistently evaluate appropriate