Tailored Care Management- Care Manager

Location: Wilson, NC
Job Type: Full-Time
Pay: $21.00–$28.00 per hour

We are seeking a compassionate, organized, and qualified Tailored Care Manager to join our team in Wilson, North Carolina. The ideal candidate will have experience supporting individuals with behavioral health conditions, intellectual and developmental disabilities (I/DD), or traumatic brain injuries (TBI).

Tailored Care Management is a person-centered, whole-person approach to care coordination that helps members access appropriate healthcare services, behavioral health support, community resources, and other essential services. The Care Manager works collaboratively with members, families, caregivers, healthcare providers, and community organizations to promote wellness, independence, community integration, and improved quality of life.

This role requires strong communication, care coordination, advocacy, and crisis response skills, along with a commitment to delivering high-quality, individualized care in accordance with North Carolina Department of Health and Human Services (NC DHHS) requirements.

• Provide professional care management services within the scope of NC DHHS Tailored Plan requirements.

• Coordinate and monitor services across healthcare, behavioral health, and community-based support systems.

• Connect members and caregivers with appropriate services, including peer support, respite care, self-help programs, and other community resources.

• Ensure referrals requested by members are completed promptly and responsibly.

• Educate members and families on self-advocacy, available services, and how to navigate the healthcare and social service systems.

• Provide information regarding members' rights, protections, and responsibilities, including provider changes, grievance and complaint procedures, and fair hearing processes.

• Promote wellness, preventive care, and whole-person health.

• Assist members with understanding advance directives, psychiatric advance directives when appropriate, and guardianship options or alternatives.

• Connect members and families to resources that promote employment, educational success, socialization, independent living, and community integration.

• Help members develop adaptive skills and improve their ability to access and navigate available services.

• Collaborate with families and youth to develop strategies that strengthen family support, self-determination, and self-sufficiency.

• Promote family-driven and youth-guided service delivery by identifying natural supports, social networks, and community resources.

• Support the delivery of services in the member's community and the least restrictive appropriate setting.

• For high-risk pregnant members, assess broader family needs, provide appropriate family planning guidance, and initiate discussions regarding an Infant Plan of Safe Care when applicable.

• Assist in developing and implementing individualized care plans and proactive and reactive crisis plans in collaboration with members, families, and the care team.

• Provide first-responder crisis support on a 24/7/365 basis for members receiving services, as required.

• Maintain the capacity to respond face-to-face to qualifying crisis situations within two hours.

• Ensure access to members' crisis plans and coordinate appropriate responses to emerging needs.

• Collaborate with the care team to identify potential risks, establish response procedures, and promote member safety and stability.

• Work under the supervision of the Supervising Care Manager in accordance with individualized supervision plans.

• Maintain accurate…