Care Management Extender; Rowan County, NC

LOCATION

Remote - must live in or near Rowan County, North Carolina. The person in this position is required to maintain residency in North Carolina or within 40 miles of the North Carolina border.
This position requires travel.

The Care Manager Extender, hereafter referred to as Extenders, will support care managers in delivering Tailored Care Management and fulfilling the member contact requirements. Extenders will 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 will report to Care Manager and 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.

Supervising care managers, care managers, and extenders will be in regular communication and coordinating efforts to mitigate duplicative or inappropriate outreach to assigned members.

Remote candidates must live in/near the counties being served

Extenders may support care managers in delivering Tailored Care Management by performing activities that fall within the below categories:

• Performing general outreach, engagement, and follow‑up with members;
• Coordinating services/appointments (e.g., appointment/wellness reminders, arranging transportation);
• Engaging in health promotion activities (as defined in the Tailored Care Management Provider Manual) and knowledge sharing; such as providing education on members' chronic conditions; teaching self‑management skills and sharing self‑help recovery resources;
  Providing education on common environmental risk factors including but not limited to the health effects of exposure to second and third‑hand tobacco smoke and e‑cigarette aerosols and liquids and their effects on family and children; and Promoting wellness and prevention programs.
• Sharing information with the care manager and other members of the care team on the member's circumstances;
• Providing and tracking referrals and providing information and assistance in obtaining and maintaining community‑based resources and social support services;
• Participating in case conferences;
• Support the care manager in assessing and addressing unmet health‑related resource needs.

Other duties as assigned.

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 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:
• Children
• Children with complex needs
• Pregnant and postpartum…