Community Care of North Carolina Inc·Cary, North Carolina
The Care Manager 1 - Non Clinical will provide statewide care management for Medicaid-enrolled members receiving adoption assistance by assessing, planning, coordinating, and monitoring services for seamless, integrated health care outcomes. Responsibilities include coordinating across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs while incorporating therapeutic skills like trauma-informed care.
We're hiring care manager 1 - Non clinical across all 100 nc counties - Must reside in nc or within 40 miles of nc border.
Currently hiring and must reside in the following NC counties: Wake and Johnston County and neighboring counties
This is a field-based position with working remotely, when not providing integrated services to members directly. Occasional in-person training and travel will be required.
From the mountains to the coast, from large cities to small towns, Community Care of North Carolina is transforming health care. Informed by statewide data and predictive analytics, community-based care-managers work with local physicians and diverse teams of health professionals to develop whole-person plans of care that connect people to the right local resources and increase equity and access to high quality care.
To improve the health and quality of life for all North Carolinians by building supporting better community-based healthcare delivery systems.
Our new program, the Care Manager 1 - Non Clinical, will provide statewide care management to support Medicaid enrolled members receiving adoption assistance. Care Managers address the needs of the population served by assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required so they receive seamless, integrated, and coordinated health care to promote quality, cost-effective health outcomes.
Collaboration with the Primary Care Provider, member, guardian, caregivers, family members, other members of the Care Management Team, and the community is necessary to coordinate a full continuum of health care services. Holistic needs of the member, inclusive of unique social and cultural dynamics should be considered. The Care Manager must reside in NC or within 40 miles of the NC Border.
Provide integrated whole-person Care Management under the new program Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care
Work with members and caregivers to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care
Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management
Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the members/families
Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable
Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness
Utilize Hospital/Data or Electronic Medical Record system as available
Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies
Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise
Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes
Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization
Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication
Respect the member’s values, experience, and help to empower members to be an advocate for their own care
Maintain appropriate documentation in the Care Management documentation platform, in accordance with organizational policies and procedures
Meet monthly productivity and role expectations
Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives
Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded
Ready to improve the health and quality of life of all North Carolinians by building and supporting better community-based health care delivery systems?
Apply today and join us in delivering compassionate care that makes a difference.
#CCNC #HealthCare #NCHealth
Candidates must possess a Bachelor's Degree in a relevant field (health, psychology, sociology, social work, nursing) or RN licensure, and must reside in North Carolina or within 40 miles of the NC Border. Two years of experience working directly with individuals served by the child welfare system is preferred, and CCM certification is a plus.
Perform all other duties as requested
Attend departmental and corporate meetings, local and regional trainings, or other events as required
Travel using personal vehicle will be required within the assigned area, region and/or the State
Market context
Operations roles in North Carolina are often tied to steady patient-flow support, scheduling, and front-line coordination, so demand tends to follow local healthcare volume and staffing needs. These positions can be competitive because employers look for reliable communication, basic computer skills, and the ability to handle specimen collection accurately; on this platform, the job requirements and benefits are AI-summarized from the original posting, saving you research time. If you are considering applying, review the full posting for any site-specific workflow, shift, or documentation expectations before submitting.
Licensed Practical Nurse (LPN) - Pediatrics - Chapel Hill, NC
Certified Medical Assistant (CMA) – Pediatrics
Pediatrician | Independent Practice | No Hospital | Partnership