Case Management Navigator

SUMMARYWork in conjunction with the Care Manager to deliver to deliver integrated whole-person care management addressing a members physical health behavioral health intellectual/developmental disability (I/DD) traumatic brain injury (TBI) long-term services and supports (LTSS) and/or pharmacy needs in addition to unmet health- related resource needs. Provide services in accordance with care management service requirements set by the state and JOB FUNCTIONSTo perform this job successfully an individual must be able to satisfactorily perform each essential function listed below. Supports Care Managers in delivering care the member /family/guardian with professionalism compassion and purpose through telephonic and virtual methods and in-home visits as required. Interactions should be concise respectful in a language of his/her choice and a professional rapport with all team members stakeholders peers and the first contact with the member/family/guardian to complete the preliminary with the Case Manager any information pertaining to the care and well-being of the member/family/ documentation of billable events that align with minimum contact expectations to the Care an accurate up-to-date electronic information data stream on all interactions encounters activities and communications with the member/family/ general outreach engagement and follow up with members to encourage accomplishment of goals set in the Plan// services/ in health promotion activities and knowledge information with the Care Manager and other members of the care team on the members and tracks referrals and provides information and assistance in obtaining and maintaining community- based resources and social support in case conferences and planning the Care Manager in Identifying and addressing barriers to services gaps in service and unmet health- related needs proactively expanding relationships and linkages to aid in meeting members services that meet national state and local healthcare standards at the highest issues of concern general departmental activities and staffing needs to the Care all required training and participates in educational sessions to improve overall industry meetings training and functions to promote positive relationships with in quality improvement and measurement activities to achieve identified targets and other related duties and activities as RESPONSIBILITIESNoneMinimum Knowledge and Skills required for the JobThe requirements listed below are representative of the knowledge skill and/or abilities required to perform the job. Education and Experience: At least 18 years oldHigh School Diploma or G.E.D equivalentBe a person with lived experience with an I/DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system; or a parent or guardian of an individual with an I/DD or a TBI and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member); or has two years of paid experience performing functions in this job description with at least one year of paid experience working directly with the Tailored Care Management eligible Licenses and Registrations:Must meet all agency requirements for pre-employment and those required by stateTrained in Tailored Care Management Skills and Abilities:Ability to perform work with a high degree of quality and autonomyOther Requirements:Travel as neededPhysical Requirements:Light work. Exerting up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time the job is rated for light work.