We are currently seeking Care Workers to serve members in Mecklenburg county.

Care Workers support Alliance Complete Care by ensuring that members are linked with and engaged in recommended services and supports. Care Workers assist members with various interventions under the care plan by removing administrative barriers to care, monitoring authorized services, and helping members transition to community-based settings.

This position will allow the successful candidate to work a primarily remote schedule which includes working up to 4 days from home as approved by their supervisor. This position will require travel within the communities Alliance serves as needed.

Responsibilities & Duties

Complete assessments and screenings

• Complete all assessments to identify whether member is receiving the services which will best match their identified needs
• Complete required Screening Tools
• Retrieve and review historical data to better-understand member’s treatment history

Collaboration with the Alliance Care Team and Provider Networks

• Attend all required meetings related to care planning and provider engagement
• Notify Care Manager of any new service needs identified during service monitoring
• Work with the Provider Network department to provide technical assistance or to discuss concerns to resolve identified issues

Engage with Providers

• Identify barriers to service delivery at the member level and work toward individualized resolution with both the member and provider
• Ensure that assessments, person-centered plans, discharge plans, and crisis plans are completed and shared with providers with whom the individuals are linked
• Report changes in member’s health status to authorized providers

Service Monitoring

• For Medicaid C services: conduct face to face, field-based observation of the member’s experience with service delivery per the frequency and requirements outlined in the Medicaid C waiver and Home and Community-based Services (HCBS) standards
• For non-Medicaid C services: complete (a) Provider Engagement Tool to assess provider support needs (to engage member in services) and (b) interventions to resolve administrative barriers to care
• Review service utilization and documentation as required by the member’s program enrollment to monitor progress toward individualized goals and fulfillment of the intent of the service authorized\

Transition Care (TCLI)

• Complete required activities needed to transition the member to a housing placement
• Complete the TCL tool and coordinate completion of the Comprehensive Clinical Assessment (CCA)

Complete Documentation

• Maintain medical record compliance/quality
• Ensure timely documentation of Care Coordination activities as required by department policy and procedures

Compliance with Alliance Policy and Procedure

• Adhere to all Alliance Organizational Policies and Procedures and Care Management Desk Procedures

Knowledge, Skills, & Abilities

• Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
• Knowledge of and skilled in the use of Motivational Interviewing techniques
• Person Centered Thinking/planning
• High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
• Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
• Conflict management and resolution skills
• Strong interpersonal and written/verbal communication skills
• Strong problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers.
• Conflict management and resolution skills
• Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
• Ability to understand macro and micro level planning, maintaining both the big picture and seeing that the details are covered.
• Detail oriented,
• Ability to organize multiple tasks and priorities.
• Ability to change the focus of his/her activities to meet changing priorities.
• Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required
• Ability to be flexible and adaptable.
• Knowledge of regulations and statutes specific to 1915(b) and (c) waiver services including licensure type required for facility-based services, and staffing and supervision requirements (LTS and TBI Care Workers only)

Minimum Education & Experience required

Master’s degree in a Human Services field and one (1) year of experience with the population served, (I/DD)

or

Bachelor’s degree in a Human Services field and two (2) years of experience with the population served, (I/DD)

or

Bachelor’s degree in a non-Human Services field and four (4) years of experience with the population served. (I/DD)

Special Requirements

Current, active NC driver license

Certification in NACCM, NADD-Specialist, and/or CBIS required within 12 months of hire

Salary Range

$22.15 to $38.14

Education

• Bachelors or better in Human Services

Licenses & Certifications

• Cert Brain Injury Spec
• Driver License
• NACCM Certified Case Mgr
• NADD Dual Diagnosis Spec

Skills

• Communication
• Conflict Resolution
• Microsoft Office
• Problem Solving