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Trillium Health Resources · 1 day ago

My Choice/CRISP In-Reach Care Manager

United States

Full-time

Remote

Mid, Senior Level

$54K/yr - $67K/yr

4+ years exp

Trillium Health Resources is a Managed Care Organization serving individuals with serious mental health needs and disabilities across North Carolina. They are seeking a My Choice/CRISP In Reach Care Manager responsible for providing in-reach support to members in various care settings, educating them on navigating service systems, and facilitating access to resources.

Child CareHealth CareMental HealthNon Profit

Responsibilities

Provide age- and developmentally appropriate education for the member and the member’s family members and/or guardians about the opportunity to receive care in a more integrated setting and available services in such settings

Provide complex care management, in compliance with NCQA and any other identified regulatory/required accreditation standards, to assigned members who may have identified needs with behavioral health, physical health, co-occurring, co-morbid, or multi-morbid conditions

Engage members who are admitted to or residing in state developmental centers, and members admitted to or residing in ICF-IIDs Not Operated by the State, or members in a Level II/Program Type, Level III/IV, or PRTF to provide education about permanent supportive housing, supports, services, and other community resources

Collaborate with the Integrated Care Team, IDD TCM, and other internal departments as needed to identify complex care needs and clinical service linkage needs

Facilitates community integration, linkage to services to include residential and/or housing referrals, referrals to needed evaluations and identifying outpatient and social determinants of health needs. Provides education and support for those members who choose not to transition back to home or to permanent supportive housing in the community and identifies and works with the Care Team to overcome barriers to the member’s transition

Qualification

Qualified Professional (QP) statusLicensed RN in NCHuman services degreeLTSS coordination experienceMH/DD/SA experienceCommunity resource navigationCare planningEducationSupportCollaboration with care teamsImmunization compliance

Required

Must meet QP status:

Fully licensed by the NC governing board regulating Human Services professions; OR

Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing, who also has four (4) years of full-time experience with the MH/DD/SA population served; OR

A graduate of a college or university with a Master's degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling; OR

A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; OR

A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling

Additionally, if serving members with LTSS needs, the care manager must meet the minimum QP requirements defined above (A-D) and shall additionally have at a minimum two (2) 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

The following immunizations are required for this position:

Fully vaccinated against Covid-19, Influenza (annually within Influenza season Nov 1 – March 31), MMR, Varicella and Tdap (Tetanus, diphtheria pertussis)

MMR and Varicella - must show proof of vaccination or have blood drawn to show immunity

Tdap - must show proof of one dose

Employees must provide proof of all immunizations prior to their start date or agree to be and provide proof of all immunizations within 4 months of start date

Must have a valid driver's license

Must reside within Trillium's Mid State Region, which includes the following counties: Anson, Guilford, Montgomery, Randolph, and Richmond

Must be able to travel within catchment as required