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.
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments.
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 stratification.
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services.
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.
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency documentation standards, and Medicaid requirements.

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; Or 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 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.).

Care Manager II

Key skills