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Vaya Health · 5 hours ago

Care Manager LP

Granville County, NC

Full-time

Hybrid

Mid, Senior Level

2+ years exp

Vaya Health is seeking a Care Manager Licensed Professional (Care Manager - LP) responsible for providing proactive intervention and coordination of care to eligible members. The role involves assessing needs, developing care plans, and ensuring members receive appropriate services across various health domains.

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. The Care Manager - LP uses these screenings to provide specific education and self-management strategies as well as linkage to appropriate therapeutic supports

The assessment process includes reviewing and transcribing member’s current medication and entering information into Vaya’s Care Management platform, which triggers the creation of a multisource medication list that is shared back with prescribers to promote integrated care

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

Care Management SoftwareClinical AssessmentHealth Risk AssessmentsLicensed ProfessionalInterdisciplinary Care PlanningHIPAA ComplianceMicrosoft OfficeProblem SolvingInterpersonal SkillsCommunication Skills

Required

Must live in or near Granville 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)