Care Coordinator (Mobile Position-NC)

• This is a mobile position which will work primarily out in the assigned communities.
• Competitive Compensation & Benefits Package! Position eligible for
• Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details.

Office Location:

Mobile Position; Available for any of Partners' NC locations

Projected Hiring Range:

Depending on

Experience Closing Date:

Open Until Filled Primary Purpose of Position:

The Care Coordinator actively engages with members/recipients through comprehensive assessment, care planning, health promotion, and comprehensive transitional care. The Care Coordinator provides time-limited community-based Care Coordination for members not eligible for, or have opted out of Tailored Care Management. The employee must be able to work effectively with internal and external stakeholders to fulfill duties and responsibilities. Travel is an essential function of this position.

Role and Responsibilities:

Responsibilities of the Care Coordinator include, but are not limited to, the following:

General Care Coordination:

Provide time-limited , in-person, community-based care coordination for members who are receiving care management from other entities (e.g., PCCN, CAP/C, CAP/DA) with referral/linkage to services available through the Tailored Plan, Medicaid Direct contract, and State funds.

• Provide transitional care coordination
• Share the results of any assessments completed and member s Care Plan/ISP with entity providing care management
• For members in excluded/duplicative services or in transitional situations, with the assistance of the care management entity, encouraging, supporting, and facilitating communication between primary care providers and the Partners network providers regarding medication management, shared roles in care transitions and ongoing care, the exchange of clinically relevant information, annual exams, coordination of services, case consultation, and problem-solving as well as identification of a medical home for persons determined to have need.

Complete assigned site visits to assess health & safety of members supported, often secondary to incident or other identified concerns in the service setting Document all activities clearly and fully in member electronic record. 1915i

Care Coordination:

Provide limited scope Care Coordination for member enrolled in 1915i services who are ineligible for, or opted out of, Tailored Care Management. Including completion of Initial/Annual 1915i Assessment Tool; Initial/Annual Care Needs Screening (CNS), Initial/Annual Care Plan/ISP based on birth month, and Care Plan/ISP addendum and updated to CNS as needed. Submission of Plan and Service Authorization Request Contact with member and monitoring of services in adherence with 1915i requirements Ensure that supports are limited to Care Coordination and that members needing more comprehensive support are directed back to assigned care management entity or supported to opt in to TCM. Document all activities clearly and fully in member electronic record.

Knowledge, Skills and Abilities:

Extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) Considerable knowledge of the

MH/SU/IDD/BI

service array provided through the network of providers Experience and knowledge of the NC Medicaid program, NC Medicaid Transformation, Tailored Plans, state-funded services, and accreditation requirements are preferred. A result and success-oriented mentality, conveying a sense of urgency and driving issues to closure Ability to initiate and build relationships with people in an open, friendly, and accepting manner Comfort with adapting and adjusting to multiple demands, shifting priorities, ambiguity, and rapid change Must possess skills in critical analysis and conflict management/resolution Must have ability to collaborate with all stakeholders in the provision of services to ensure positive outcomes Strong verbal, written and interpersonal communication skills Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and PowerPoint) Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships Ability to change the focus of his/her activities to meet changing priorities A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance

Education/Experience Required:

Bachelor's degree in a field related to health, psychology, sociology, social work, nursing, or another relevant human service field with two years of full-time, post-bachelor s degree experience with the behavioral health/IDD population

• OR•Bachelor s degree in a field other than human services and four (4) years of full-time experience with behavioral health/IDD Population•OR•Master s degree in a human service field and one year of full-time, post-graduate degree experience with the behavioral health/IDD population AND Two (2) years of prior Long-Term Services and Supports (LTSS) and/or Home and Community Based Services (HCBS) coordination, care delivery monitoring and care management experience.

This experience may be concurrent with the two years of experience working with behavioral health/IDD population described above Other requirements: Must reside in North Carolina. Must have ability to travel regularly as needed to perform the job duties

Education/Experience Preferred:

Experience working with members with co-occurring physical health and/or behavioral health needs preferred.

Licensure/Certification Requirements:

If a Registered Nurse (RN), must be licensed in North Carolina