Manager - Care Management Extender

Company: Vaya Health
Location: Burlington
Posted on: January 25, 2023

Job Description:

LOCATION: Remote - Alamance/Rowan Counties, NC *Remote candidates must live in/ near the counties being served
SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.
GENERAL STATEMENT OF JOB:The Manager, Care Manager Extender, hereafter referred to as Extender Manager, will oversee the operation, communication/team dynamics, problem solving, and oversight of the Care Management Extenders who support care managers in delivering Tailored Care Management and fulfilling the member contact requirements. The Extender Manager will support the Extenders to help Vaya Care Management best meet the needs of members, build efficient care teams by creating additional workforce capacity, and allow care managers and supervisors to focus on key tasks for assigned members as well as permit them additional time for members with intensive or complex needs. Certain components of Tailored Care Management will always be led by a care manager. However, some functions may be performed by an Extender as part of Tailored Care Management.Extender Manager will report to Director of Care Management and remain within, and assist Extenders to remain within, the scope delineated in this job description and only performing functions within their training, scope, and abilities. Extenders will participate with the Care Manager and care team in supporting the member and integrate care team's goal in a holistic approach and document interactions and activities within the identified administrative healthcare record according to departmental standards. Extender Manager will ensure Extenders are in regular communication with Supervising care managers and care managers and coordinating efforts to mitigate duplicative or inappropriate outreach to assigned members. Essential job functions include, but may not be limited to knowledge of or performance of:

• CM Platform basics
• Outreach & Engagement
• Release of Information practices
• Health Risk Assessment
• Medication List and Continuity of Care process
• Care Planning
• Interdisciplinary Care Team and Ongoing Care Management
• Transition Planning
• Diversion
  ESSENTIAL JOB FUNCTIONS:Management of Extender Team Functions:Extenders may support care managers in delivering Tailored Care Management by performing activities that fall within the below categories:
  • Effectively implement organizational priorities, quality initiatives and programs.
  • Represent Vaya Health at designated community stakeholder, provider and NC Department of Health and Human Services related meetings
  • Supervise the Care Management Extender Team ensuring training needs are met and the team is working collaboratively.
  • Supervision and administrative oversight of team members regularly.
  • Provide supervision to Extender team by observing and monitoring paperwork/documentation to ensure that activities are carried out within the assigned area in an effective manner.
  • Provide coaching to employees to ensure continuous improvement of performance in meeting the needs of the members and communities .
  • Respond to community needs/requests as appropriate and participate in various leadership meetings.
  • Ensure the team is meeting expectations as defined by Care Management Department leadership.
  • Manage staff performance, personnel concerns and annual employee performance evaluations.
  • Participate in and maintain Care Management and Vaya trainings and proficienciesCollaboration:
    • Participate in Care Management Department meetings.
    • Participate in Vaya organizational committees/workgroups/teams.
    • Participate in community collaborative meetings and events.Other Duties:
      • Other duties as assigned.
        QUALIFICATION AND EDUCATION REQUIREMENTS:It is required that incumbents of the role must be at least 18 years of age and must have obtained at minimum a High School Diploma/GED. Incumbents of the role must also meet at least one of the below requirements:
        • Be 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.
        • Be a person with lived experience with a behavioral health condition who is a Certified Peer Support Specialist.
        • A parent or guardian of an individual with an I/DD or a TBI or a behavioral health condition 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).
        • Has two years of paid experience performing the types of functions described in the "Duties/Responsibilities" section of this role description in addition to one year of paid experience working directly with the Tailored Care Management eligible population.
          Incumbents of the role are also required to successfully complete training in Tailored Care management upon the start of their employment with Vaya.
          
          PHYSICAL REQUIREMENTS:
          
          Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work.
          
          KNOWLEDGE, SKILL, AND ABILITIES:Extenders must complete the full Tailored Care Management training curriculum. Additionally, to ensure Extenders are sufficiently prepared and capable to perform their duties, extenders' training must include practical ("hands-on") training modalities and evaluation, which may include role play, use of call scripts, and practice sessions.Tailored Care Management Training includes:
          • Tailored Plan eligibility and services
          • Whole-person health and unmet resource needs
          • Components of Health Home/Tailored Care Management
          • Ethics, boundaries, and personal safety
          • Building a trusting relationship
          • Community integration
          • Health promotion
          • I/DD- and TBI-specific trainings (if working with members from these communities)
          • Transitional care management
          • Skills to support health behavior change, including motivational interviewing
          • Person-centered needs assessment and care planning, including LTSS and other needs
          • Preparing members for and assisting them during emergencies and natural disasters
          • Infection control and prevention practices
          • Understanding virtual/telehealth applications
          • Needs of justice-involved individuals
          • Additional trainings for serving:o Childreno Children with complex needso Pregnant and postpartum persons with substance use disorder (SUD) or with SUD historyo Members with LTSS need Extenders must also demonstrate the following skills and abilities:
            • Ability to establish appropriate and respectful relationships/ partnerships with persons with a wide range of disabilities and healthcare conditions and their families.
            • Ability to interact professionally and effectively with persons who are upset and who disagree.
            • Ability to express ideas clearly and concisely orally and in writing.
            • Ability to work as a team member and under the direction of the Care Manager and and the Care Management department.Good customer service skills are essential.
              RESIDENCY REQUIREMENT: In accordance with the BH and I/DD Tailored Plan requirements mandated by the NC Department of Health and Human Services, certain Vaya Health positions are required to be filled by individuals who reside in North Carolina, meaning someone who establishes a legal domicile in North Carolina and pays income tax in North Carolina, or resides within 40 miles of the North Carolina border. New hires from outside of North Carolina will have 60 days from the date of hire to meet this requirement, if applicable to the position.
              DEADLINE FOR APPLICATION: Open until filled
              APPLY: Vaya Health accepts online applications in our Career Center, please visit http://www.vayahealth.com/careers-overview/ Ind.001
              Vaya Health is an equal opportunity employer.
              
              
              
              

Keywords: Vaya Health, Burlington , Manager - Care Management Extender, Executive , Burlington, North Carolina