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Vaya Health · 15 hours ago

Care Manager LP

Haywood County, NC

Full-time

Hybrid

Mid, Senior Level

2+ years exp

Vaya Health is a company focused on providing care management services to its members. The Care Manager - LP is responsible for coordinating care and ensuring members receive appropriate assessments and services, working closely with multidisciplinary teams to address health-related needs and gaps in care.

CommunitiesHealth CareHospital

Hiring Manager

Paul Baydarian

Responsibilities

Utilization of and proficiency with Vaya’s Care Management software platform/ administrative health record (“AHR”)

Outreach and engagement

Compliance with HIPAA (Health Insurance Portability and Accountability) requirements, including Authorization for Release of Information (“ROI”) practices

Performing Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to care

Adherence to Medication List and Continuity of Care processes

Participation in interdisciplinary care team meetings, comprehensive care planning, and ongoing care management

Transitional Care Management

Diversion from institutional placement

Ensures identification, assessment, and appropriate person-centered care planning for members

Links members with appropriate and necessary formal/ informal services and supports across all health domains (i.e., medical, and behavioral health home)

Meets with members to conduct the HRA and gather information on their overall health, including behavioral health, developmental, medical, and social needs

Administers the PHQ-9, GAD, CRAFT, ACES, LOCUS/CALOCUS, and other screenings based on member’s needs

Supports the care team in development of a person-centered care plan (“Care Plan”) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their choice

Ensure the Care Plan includes specific services to address mental health, substance use, medical and social needs as well as personal goals

Ensure the Care Plan includes all elements required by NCDHHS

Use information collected in the assessment process to learn about member's needs and assist in care planning

Ensure members of the care team are involved in the assessment as indicated by the member/LRP and uses clinical skills to evaluate and incorporate other available clinical information into the assessment as necessary

Other duties as assigned

Qualification

Clinical AssessmentCare PlanningLicensed ProfessionalVaya Care Management SoftwareHIPAA ComplianceHealth Risk AssessmentsMicrosoft Office ProficiencyInterpersonal SkillsProblem SolvingNegotiation SkillsOrganizational SkillsCommunication SkillsAdaptability

Required

Must live in or near Haywood County, North Carolina

This position requires travel

Master's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area

For incumbents with a Master's Degree in a Human Services Area besides Nursing, two (2) years of experience working directly with individuals with BH conditions

For incumbents with a Master's Degree in a Human Services Area besides Nursing, two (2) years of prior Long-term Services and Supports and/or Home Community Based Services coordination, care delivery monitoring and care management experience

For incumbents with a Master's Degree in Nursing, four years of full-time accumulated experience in mental health with the population served is required

Must meet the criteria of being a North Carolina Qualified Professional with the population served in 10A NCAC 27G .0104

Valid licensure required. Acceptable licenses are Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate (LCSWA), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Clinical Mental Health Counselor Associate (LCMHCA), Licensed Clinical Mental Health Counselor Supervisor (LCMHCS), Licensed Psychological Associate (LPA), Health Services Professional Psychological Associate (HSP-PA), Licensed Clinical Addiction Specialist (LCAS), Licensed Clinical Addiction Specialist Associate (LCASA), Licensed Marriage and Family Therapist (LMFT) or Licensed Marriage Family Therapist Associate (LMFTA)

Ability to express ideas clearly/concisely and communicate in a highly effective manner

Ability to drive and sit for extended periods of time (including in rural areas)

Exceptional interpersonal skills and ability to represent Vaya in a professional manner

Ability to initiate and build relationships with people in an open, friendly, and accepting manner

Strong attention to detail and superior organizational skills

Ability to make prompt independent decisions based upon relevant facts

Well-developed capabilities in problem solving, negotiation, arbitration, and conflict resolution, including a high level of diplomacy and discretion to effectively negotiate and resolve issues with minimal assistance

A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure

Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change

Thorough knowledge of standard office practices, procedures, equipment, and techniques and intermediate to advanced proficiency in Microsoft office products (Word, Excel, Power Point, Outlook, Teams, etc.), and Vaya systems, to include the care management platform, data analysis, and secondary research

Must be highly skilled at shifting between macro and micro level planning, maintaining both the big picture, and seeing that the details are covered

Ability to use higher-level clinical training and licensure to perform clinical assessments, drive positive outcomes for members, support care management colleagues, and offer clinical assistance to providers