Care Manager Extender
5 days ago
High Point
Archdale Center - Archdale, NC 27263 Our mission is to inspire and empower people to seek and maintain recovery and health. Daymark Recovery Services, Inc. is a mission driven, comprehensive community provider of culturally sensitive mental health and substance abuse services. Comprehensive Benefits Package: • Medical, Dental and Vision Insurance, • Health Spending Account, • Company-Paid Life Insurance, • Short Term Disability, • 401(k), • Paid Holidays, • Paid Vacation and Sick Leave, • Employee Assistant Program, • Referral Bonus Opportunities, • Extensive Internal Training Program Pay Scale: $16-$17hr Under direct and indirect supervision, provides care management functions, documentation, referral and linkage, and monitoring/follow-up. Essential Duties and Responsibilities: • Provides care management extender duties, referring and linking to needed services, monitoring/follow up with client and referrals, provide education for health promotion, • Participates in interdisciplinary treatment planning, consultation activities and ensures all involved parties are aware of the plan of care., • Provides crisis intervention to all participants of TCM and involves crisis services when needed., • All other duties as assigned by supervisor. The responsibilities of the Care Management Extender include, but are not limited to, the following: Care Management Documentation: • Works in conjunction with the client, family, friends, and providers who have lengthy experience with the person., • Assist the person to obtain the outcomes/skills/symptom reduction that they desire., • Facilitates provider choice process, maintaining objectivity and providing fact-finding assistance., • Ensures that signed Authorization to Disclose Health Information forms are obtained and on file in the consumer's medical record prior to releasing any information when needed (Substance Use Disorders)., • Ensures that all information released/disclosed is documented on the Accounting of Release and Disclosure form (this includes documenting any documents given to consumer/legal guardian). Referral/Linkage: • Coordinating the delivery of services to reduce fragmentation of care and maximize mutually agreed upon outcomes., • Facilitating access to and connecting recipients to services and supports identified in the Person Centered Plan., • Making referrals to providers for needed services and scheduling appointments with the recipient., • Assisting the recipient as he or she transitions through levels of care., • Facilitating communication and collaboration among all service providers and the recipient., • Assisting the recipient in establishing and maintaining a medical home where needed., • Assisting the recipient in establishing OBGYN and prenatal care as necessary. Natural Support / Services Not Funded Through the Tailored Plan: • Assists consumer/legally responsible person in considering and accessing natural community supports such as educational services, transportation, support from friends/family/church, etc., • Ensures that the consumer gets the best possible treatment and care by carefully coordinating paid supports/services with other resources available in the community. Monitoring/Follow-Up: • Services are being provided in accordance with the recipient's Care Management Plan;, • Services in the Care Management Plan adequate and effective;, • There are changes in the needs or status of the recipient; and, • The recipient is making progress toward his or her goals., • Documents monitoring and the actions taken/planned as a result of the monitoring in the consumer's record., • Ensures that the monitoring schedule for each consumer is sufficient to assure the health, safety and welfare of the consumer., • Monitors for progress/lack of progress through observation, interview, and documentation review. Coordination: • Works closely with the consumer/legally responsible person, provider agencies, and others involved with the consumer's care and treatment to avoid/resolve scheduling conflicts, duplication of effort, and other problems that hinder effective treatment., • Assists consumer in obtaining entitlement services whenever possible., • Monitors the consumer's continued eligibility for Medicaid and/or NC Health Choice, as applicable, and provides needed assistance to the consumer/legally responsible person in order to ensure that coverage does not lapse. Units Billed Minimum Requirement: The extender will be assigned contacts to ensure the team meets the following requirements. Care management contacts for members with behavioral health needs: High Acuity: At least four care manager-to-member contacts per month, including at least one in-person contact with the member. Moderate Acuity: At least three care manager-to-member contacts per month and at least one in-person contact with the member quarterly (includes care management comprehensive assessment if it was conducted in-person). Low Acuity: At least two care manager-to-member contacts per month and at least two in-person contacts with the member per year, approximately six months apart (includes the care management comprehensive assessment if it was conducted in-person). Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: Minimum of a high school diploma or equivalent. And meet one of the following criteria: 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; Parents or guardians of an individual with an I/DD or a TBI or a behavioral health condition (parent/guardian cannot serve as an extender for their own family member); A person with lived experience with an I/DD or a TBI or a behavioral health condition Or 2 years of paid care management type experience with at least 1 year paid experience at any time with population served. TCM trainings will be required to completed as assigned.