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Care Manager - IDD

Company: RHA Health Services
Location: Lumberton
Posted on: September 22, 2022

Job Description:

We are hiring for:
Care Manager - IDD
Lumberton, NC

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!

Job Summary:
Provides whole person, integrated care management in service sites, homes and communities through face to face and other interactions and through the work of integrated care teams. Promotes whole person care directed at better health outcomes and addressing all needs spanning physical and behavioral health, I/DD, pharmacy, and unmet health related resources. Ensures sustained high quality of care and services to persons with mental health, substance use and/or developmental disabilities. Complies with company, state and federal policy.

Essential Job Related Responsibilities:

Care Management Service Delivery - Fosters and facilitates the care management process. Conducts Care Management Comprehensive Assessments, shares information and facilitates Tailored Care Management Planning with the person supported and other team members. Monitors the ongoing care management plan implementation and facilitates Care Plan Updates every 12 months minimally or when there is significant change of circumstance or need or at the request of the person supported. Implements workflows, policies and procedures, and documentation standards that promote whole person care.. Maintains a positive and professional image in the work setting and community. Follows policies and procedures to ensure accountability of service delivery.

Best Practices - Demonstrates a passion for positive change by continuously improving and defining innovative care management interventions. Stays up to date with current best practices and keeps the team continuously informed about best practice innovations.

Cross-functional Collaboration - Collaborates cross-functionally with other Integrated Care Team members, community organizations and RHA departments to ensure success of Care Management implementation.

Person-Centered Approach - Maintains a person-centered philosophy focusing on an individual's strengths, needs, and preferences that promote health, wellness, and safety. Fosters a person-centered culture with Care Management Teams to optimize individual education around self-management, disease management, and integrated healthcare planning.

Quality Assurance and Use Of Data - Implements the strategic use of data to support delivery of effective, integrated, and well-coordinated care management services.. Ensures individual data sharing and storage consistent with state and company policies.

Maintains a Safe and Healthy Environment- Implements all organization health and safety policies and procedures.

Financial Performance - responsible for documenting services provided in a timely manner in order to be appropriately accounted for reimbursement purposes

Ensures proactive and effective communication - Establishes and maintains frequent and regular communication with persons supported, family members, other team members and colleagues. Fosters open communication and feedback. Helps maintain focus on care planning goals and outcomes. Establishes and maintains strong external relationships, to include providers, community organizations, Clinically Integrated Networks (CIN).

Ethics & Compliance - Supports and participates in an ethical culture in conjunction with the RHA Code of Conduct and Ethics and Compliance Program, emphasizing confidentiality and no retaliation policies. Directs the confidential and immediate investigation into allegations of abuse, neglect, exploitation, theft, fraud, waste, misconduct, and violations of ethics and compliance practices according to company policy. Ensures protections of individuals served during investigations. Ensures all external reporting requirements are followed. Ensures adequate follow- through on recommendations from investigation reports. Participates as assigned as designated members to Quality Improvement Committee, Quality Assurance Committee, Quality Management Team, Safety, Task Force and Human Rights Committee meetings.

Performs all other related duties as assigned.


Accepting Responsibility (Supported by Be Proactive) -Takes accountability for delivering on commitments; owns mistakes; and uses them as opportunities for learning and development; openly discusses his or her actions and their consequences, both good and bad.

Setting Objectives and Goals-(Supported by Beginning with the End in Mind) - Sets meaningful, challenging performance objectives with clear measures of success for themselves and team.

Prioritizing and Organizing Work-(Supported by Put First Things First) Allocates time and attention based on what is most important to achieve key goals and objectives. Effectively organizes and balances tasks and priorities to keep multiple projects on track.

Managing Performance (Supported by Think Win Win) - Has an authentic interpersonal style that engages others and encourages high performance. Uses personal influence to encourage and support.

Communicating Effectively (Supported by Seek First to Understand then to be Understood) -Shares information. Listens and involves others. Clearly Conveys ideas in a manner that engages others and helps them understand and retain the message.

Displaying Creativity - (Supported by Synergize) - Uses creativity appropriately to drive progress and encourages others to do the same. Makes innovation a priority among team members; encourages reasonable risk taking.

Managing Stress-(Supported by Sharpening the Saw) Uses healthy and effective methods to manage stress (e.g., maintaining appropriate diet, exercise, and sleep schedules); reacts effectively when faced with high-pressure situations

Championing the needs of the People we Support/Customers (Supports Culture of Caring)-Provides timely and professional service to both internal requests and the requests of the people we support and customers; is responsive to the people we support and customers' needs and requests. Is always courteous to the people we support or customer and considers the needs of the people we support or customer when making decisions

Following Policies and Procedures- Understands and follows company policies; encourages others to follow work rules; calls attention to actions that may violate policies and procedures.

Meeting Basic Work Expectations-Complies with basic job requirements and tasks; arrives at work on time as scheduled; proactively informs others when he/she encounters problems that may limit his/her ability to meet expectations.

Required Education/Experience

Education- For all populations served, Care Managers must meet at least ONE of the following qualifications to meet the criteria as a Qualified Professional (QP), per 10A NCAC 27 .0104

  • A MH/SU license (including associate-level), or are certified by the NC Substance Abuse Board
  • An RN AND have four years of full-time experience working with the MH/SU/IDD population*
  • A master's degree in a human service field** AND at least one year of full-time experience working with the MH/SU/IDD population*
  • A bachelor's degree in a human service field** AND at least two years of full-time experience working with the MH/SU/IDD population*
  • A bachelor's degree in a non-human service field AND at least four years of full-time experience working with the MH/SU/IDD population*

    Experience- For care managers serving members with LTSS needs: Must meet at least one of the qualifications to meet QP criteria, as stated above AND Two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience. (This experience may be concurrent with the years of experience required to become a Qualified Professional.) Care managers need to have care coordination, care management, or case management experience.

    Required Licenses/Certifications

    Valid driver's license

    Clinical license preferred.

    To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the work conditions, knowledge, skill, and/or ability, and physical and sensory requirements needed to perform the essential duties. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Required Working Conditions

    Office-While performing the duties of this job, the employee is occasionally exposed to wet and/or humid conditions. The noise level in the work environment is usually moderate and consistent with that of an office environment.

    Essential Qualifications/Skills

    Language- Ability to read, analyze, and interpret general professional journals, technical procedures, and/or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and speak in front of a group, respond to questions from employees, people supported, government officials and the general public.

    Mathematical (Professional)-Ability to work with mathematical concepts such as probability and statistical inference. Fundamentals of math such as fractions, percentages, ratios and proportions and reading charts and graphs as applicable to practical situations. Ability to read financial statements, apply basic financial ratios and reasoning to interpret and project conditions.

    Reasoning (Professional)-Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions, diagrams and deal with several abstract and concrete variables at the same time.

    Essential Physical and Sensory Requirements-With or without the aid of mechanical devices

    Light - Regularly required to lift 10 lbs. Must be able to lift a minimum of 15 lbs. Must be able to pull minimum of 10 lbs. Must be able to squat, kneel, crawl, crouch, climb, and stoop. Must be able to regularly use hands to finger, handle, or feel objects, tools, or controls. Required to regularly stand and walk. Must be able to demonstrate proficiency in CPR from the floor level requiring to work on hands, knees, bending, standing and lifting. Vision requirements include close vision, distance vision, and peripheral vision. Must be able to talk and hear.

    We offer the following benefits to employees:
    • Payactiv: early access to the money you've earned from hours you've already worked, before payday!
    • Employee perks and discount program: to help you save money!
    • Paid Time Off (full-time employees only)
    • Health/Insurance (full-time employees only)
    • 401(k) retirement savings program
    • Wellbeing Programs: Physical, Emotional and Financial
    • Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
    • Training: Free CPR, first aid, and job-specific training opportunities
      *contract/contingent workers and interns do not qualify for any of the above benefits

      If you are ready to make a difference in the lives of people we serve and support apply to join the team today.

      EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

Keywords: RHA Health Services, Fayetteville , Care Manager - IDD, Executive , Lumberton, North Carolina

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