Tailored Care Manager- QP (Qualified Professional)

JOB SUMMARY:

The QP (Qualified Professional) Tailored Care Manager provides comprehensive personcentered services to patients with complex behavioral/ mental health conditions substance use disorders and/or intellectual and developmental disabilities (I/DD)including adults children and pregnant individuals. Required care management activities include care coordination health promotion transitional care planning and followup family support and referrals to necessary resources and supports. These functions may be preformed throughout WNC in communitybased settings. The Tailored Care Manager will collaborate with care manager extenders (Peer Support Specialists Community Health Workers) MAHEC clinical teams community partners and other regional and state stakeholders. They will report to an assigned Tailored Care Manager Supervisor.

SPECIFIC RESPONSIBILITIES:

• Conduct intake assessments and screenings and obtain necessary consents according to NCDHHS standards.
• Develop personcentered care plans seeking guidance from supervisor and other clinical experts as needed.
• Provide selfmanagement education as well as linkages to resources/ services supporting social and medical needs.
• Support transition planning when patients are admitted/discharged from hospitals or other institutional settings.
• Provide patient consultation in adapting treatment goals identifying strengths creating action items and addressing barriers to goals.
• Builds and maintains a full patient panel by actively identifying patients who qualify for program benefits and initiates outreach.
• Develops outreach and engagement strategies to engage qualified patients.
• Educates providers and clinical staff on program services identifying qualified patients and patient engagement tactics.
• Work with MAHECs Quality Improvement team to improve care management delivery and patient outcomes. Ensure care management is successfully closing care gaps and meeting quality standards.
• Collaborate with MAHECs clinical departments (Family Medicine Internal Medicine Pharmacy OBGYN and Psychiatry) and community resource organizations to ensure seamless care coordination/management for the population being served.
• Coordinate and may facilitate integrated Care Team meetings where patient Care Plan is discussed.
• Provide 24:7 crisis response in rotation with other team members which includes arrangement of services consultation or referral followed by coordination of care to an appropriate setting when necessary.
• Create a Care Management Crisis Plan and coordinate Diversion efforts for patients at risk of admission to an institutional setting.
• Identify system barriers and collaborate to resolve issues with MAHEC departments and with community stakeholders.

This role description is a general description of the essential job functions. It is not intended to describe all the duties the Tailored Care Manager may perform.

KEY COMPETENCIES:

• Communication Skills

Effectively and respectably communicate with other individuals whether it be a colleague patient or patients family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties especially in complex and difficult situations to ultimately provide the best care possible to our patients and their families.

• Decision Making

Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills critical thinking skills confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time.

• HealthCare Knowledge

Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team as appropriate. This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHECs organizational training. Finally the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate.

• Interpersonal Skills

Showing the ability to meet difficult situations with grace professionalism and understanding. Within your area of expertise showing respect and showing empathy where appropriate with your colleagues patients and their family at all times even when its most difficult to do so. This is done in part by effective listening being your authentic self showing responsibility and dependability and being patient with others.

• Organizational Values

Adherence to MAHECs founding principles and incorporating them every day. This includes among others having integrity and accountability reverence for other cultures and equitable practices ability to manage change and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need.

• Problem Solving

Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically through a difficult problem and come to an appropriate resolution for a given issue. This helps to drive continuous improvement by thinking through where we can improve in a novel way. Measures success by understanding where we are currently and where we want to go and then applying those new ideas to affect positive change.

SPECIFIED SKILLS

• COMPUTER
  • Must be competent with virtual (email Webex Zoom Microsoft TEAMS etc.) communication Electronic Health Record (EHR) systems and Care Management/Coordination systems.

• FOREIGN LANGUAGE
  • Fluency in Spanish preferred

PHYSICAL DEMANDS

• Not Applicable.

EDUCATION AND EXPERIENCE

• MINIMUM QUALIFICATIONS:
  • Bachelors degree
  • Four (4) years of experience providing care management case management or care coordination to the population being served (Behavioral Health and/or I/DD)

Qualified professional means within the mh/dd/sas system of care either:

(a) an individual who holds a license provisional license or certificate issued by the governing board regulating a human service profession including a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of fulltime accumulated experience in mh/dd/sa with the population served;

(b) a graduate of a college or university with a Masters degree in a human service field and has one year of fulltime pre or postgraduate degree accumulated supervised mh/dd/sa experience with the population served or a substance abuse professional who has one year of fulltime pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling;

(c) a graduate of a college or university with a bachelors degree in a human service field and has two years of fulltime pre or postbachelors degree accumulated supervised mh/dd/sa experience with the population served or a substance abuse professional who has two years of fulltime pre or postbachelors degree accumulated supervised experience in alcoholism and drug abuse counseling; or

(d) a graduate of a college or university with a bachelors degree in a field other than human services and has four years of fulltime pre or postbachelors degree accumulated supervised mh/dd/sa experience with the population served or a substance abuse professional who has four years of fulltime pre or postbachelors degree accumulated supervised experience in alcoholism and drug abuse counseling.

REQUIRED LICENSES:

• Meet North Carolinas definition of a Qualified Professional per 10ANCAC 27G .0104
• Valid drivers license

SCHEDULE:

This position is hybrid with some travel and routinely scheduled attendance onsite. Typical business hours are Monday Friday 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend holiday or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments or evening activities as requested by the team leader.

POSITION COMPENSATION:

$63700 full time with full benefits available

At MAHEC we strive to equip all team members with Total Rewards (pay benefits) to honor their service support their health manage their financial security build their career and thrive.

All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.

MAHEC Talent Management is located at 121 Hendersonville Road Asheville NC 28803. Equal Opportunity Employer. Black Indigenous People of Color and Spanish/English bilingual persons are strongly encouraged to apply. With this in mind studies show that women gender diverse and BIPOC candidates are less likely to apply unless they meet all of the qualifications listed in the job description.

If you are interested in this role and you have related experience and qualifications we encourage you to apply or reach out to for support in your job search process. You could be the talent we are seeking for this or other opportunities.