NO PHONE CALLS PLEASE.
Job Title: Care Management Extender
Status: Full Time
Management: No
Department: Tailored Care Management
Reports To: Care Manager
GENERAL DESCRIPTION:
Through Tailored Care Management, Behavioral Health Tailored Plan beneficiaries will have a designated care manager supported by a multidisciplinary care team to provide whole-person care management that addresses all their needs, spanning physical health, behavioral health, pharmacy, and unmet health related resource needs. The Care Management Extender, will assist in meeting the needs of the member, create additional workforce capacity, and allow care managers and supervisors to focus on key tasks for assigned members as well as permit them additional time for members with intensive or complex needs.
WORK DUTIES AND TASKS:
Performing general outreach, engagement, and follow-up with members;
Coordinating services/appointments (e.g., appointment/wellness reminders, arranging transportation);
Engaging in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing;
Sharing information with the care manager and other members of the care team on the member's circumstances;
Providing and tracking referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services;
Participating in case conferences;
Support the care manager in assessing and addressing unmet health-related resource needs;
Regular communication and coordinate efforts with Care Manager and Care Manager Supervisor to decrease duplicative and inappropriate outreach to assigned members;
Complete documentation in a timely manner and as required;
Participate and complete all required agency trainings and meetings, as well as all required care management-based trainings from the State, Technical Assistance entity or payor and within required timeframes as assigned.
Other duties as assigned;
QUALIFICATIONS, EDUCATION AND EXPERIENCE REQUIREMENTS:
Is at least 21 years of age;
Has a high school diploma or equivalent;
Must be able to pass a criminal background, MVR and Healthcare Registry Check.
Must possess a valid Driver's License.
Must be able to keep strict confidentiality and work with diverse populations.
Is trained in Tailored Care Management;
Is supervised by a care manager and meets one of the below requirements:
Be a person with lived experience with a behavioral health condition and a Certified Peer Support Specialists or
A parent or guardian of an individual with a behavioral health condition and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member) or
Has two years of paid experience performing the types of functions described in the ?Extender Functions? above, with at least one year of paid experience working directly with the Tailored Care Management eligible population.
Individuals who will be able to meet these qualifications, including, but not limited to the following:
Certified Peer Support Specialists;
Community health workers (CHW), defined as individuals who have completed the NC
Community Health Worker Standardized Core Competency Training (NC CHW SCCT);
Individuals who served as Community Navigators prior to the implementation of Tailored Plans; and Parents or guardians of an individual with a behavioral health condition (parent/guardian cannot serve as an extender for their own family member);
A person with lived experience with a behavioral health condition
CORE COMPETENCIES:
To perform effectively in this position, the individual should demonstrate the following competencies. These core competencies represent effective administration of Integrated Family Services, PLLC and its programs fulfilling the IFS mission.
Management: Maintains effective systems of internal controls to account for all billing for IFS clients assigned to the caseload. Demonstrates the core values of IFS in maintaining effective administrative operations.
Job Knowledge: Understands the duties and responsibilities of the position and keeps job knowledge up-to-date. Clearly understands the mission of the organization and continuously works to promote IFS and achieve its goals.
Initiative in fulfilling the goals of the organization: From interactions with staff, the employee recognizes and brings to the attention of the department Director issues that affect the organization and implements plans to reach organizational goals as determined by the management team. Displays initiative in developing action plans and resolving problems as they occur, in consultation with the departmental supervisors and the department Director.
Communication: Maintains effective two-way communication with staff, community agencies, and other audiences using a variety of formats. Examples include: written communications that clearly outline the situation and action items; verbal presentations and briefings to the department Director and members of the management team.
Dependability: Seeks increased responsibility while remaining conscientious, thorough, accurate, and reliable with respect to achieving the organization's goals, and the needs of the IFS consumers and fellow staff. This includes being available and responsive to issues and concerns as they arise
PHYSICAL DEMANDS, WORK ENVIRONMENT, TRAVEL AND MISCELLANEOUS:
Physical Demands
While performing the duties of this job, the employee is regularly required to sit, stand, walk, speak and hear. The position requires extensive computer use so the employee must have sufficient hand dexterity to use a computer keyboard and be capable of reading a computer screen. The employee must rarely lift and/or move up to 20 pounds. Reasonable accommodations may be made to enable otherwise qualified individuals with disabilities to perform the essential functions.
Work Environment
The work environment may be a small office or vary in areas conducive to the position requirements. The noise level in the work environment is usually low to moderate. Reasonable accommodations in the work environment may be made to enable individuals with disabilities to perform the essential functions.
Travel
The employee must be able to travel to perform the position requirements, to attend conferences, training and other events as required for acquiring and maintaining proficiency in fulfilling the responsibilities of the position.
*****************************************************************************************************************************************************************
This job description is not intended to be all-inclusive. Employee may perform other related duties as determined to meet the on-going needs of the organization. Acknowledgement of this document acknowledges receipt of this job description and does not create a contract of, or specify terms, conditions or a specific period of employment.
All employment relationships with Integrated Family Services, PLLC are at-will and may be terminated at any time, with or without cause, with or without notice by either the employee or employer.
I
acknowledge that I have received a copy of this job description, and it has
been reviewed with me and I understand the duties and requirements of the
job. I also acknowledge and understand
that if I have any questions pertaining to the duties and requirements of my
job that I may ask my immediate supervisor, departmental management or Human
Resources.
In addition to competitive salaries and opportunities for advancement, full-time employees are offered a wide range of benefits to meet their individual needs, which includes:
Medical, Vision, Dental Insurance.
Life Insurance (Paid by Company).
PTO (Paid Time Off).
Paid Holidays.
Longevity Pay.
401K Retirement Plan.
Funeral Leave.
FMLA.
Supplemental Insurance offering through Aflac with Payroll Deduction.
Direct Deposit.
Training Opportunities.
Continuing Education Leave for Licensed Professionals (opportunity to gain free CEU’s).
Free Clinical Supervision in Greenville (LCSWA/LCASA/CSAC).