Care Management Extender (Haywood County)
Company: Vaya Health
Location: Clyde
Posted on: April 18, 2024
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Job Description:
LOCATION: Remote - must live in or near Haywood County, NC.
GENERAL STATEMENT OF JOB: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 ESSENTIAL JOB
FUNCTIONS:Member Outreach, Support & Education 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 DutiesOther duties as
assigned. KNOWLEDGE, SKILL & 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
integrationHealth promotion I/DD- and TBI-specific trainings (if
working with members from these communities) Transitional care
managementSkills 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:ChildrenChildren with complex needsPregnant
and postpartum persons with substance use disorder (SUD) or with
SUD history 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 the
Care Management department.Good customer service skills are
essential. QUALIFICATIONS & EDUCATION REQUIREMENTS:High school
diploma or GED is required for this position. Must be at least 18
years of age and trained in Tailored Care Management. Must meet one
of the following 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; orBe a person with lived experience with a behavioral
health condition who is a Certified Peer Support Specialist; orA
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); orHas 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.
Licensure/Certification RequirementsNone required. Certified PSS
(Peer Support Specialist) and/ or WRAP (Wellness Recovery Action
Plan) Facilitators preferred. MENTAL/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.
RESIDENCY REQUIREMENTS:The person in this position IS required to
reside in North Carolina or within 40 miles of the NC border.
SALARY: Depending on qualifications & experience of candidate. This
position is non-exempt and is eligible for overtime
compensation.
DEADLINE FOR APPLICATION: Open Until Filled
APPLY: Vaya Health accepts online applications in our Career
Center, please visit . Vaya Health is an equal opportunity
employer.
Keywords: Vaya Health, Asheville , Care Management Extender (Haywood County), Executive , Clyde, North Carolina
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