Job Title: Tailored Plan Care Manager extender

HOURS:?Full time, Non-Exempt

Job Duties / Responsibilities:

The Tailored Plan Care Manager Extender is an integral part of Coastal Horizons Center’s team approach to integrated care for behavioral health and medical care. This role provides direct support to the client through a collaborative role with the Tailored Plan Care Manager. Care Manager Extenders interact with all members of the healthcare team to keep the lines of communication open. Their role is to improve positive client outcomes through linking clients to medication management, coordinating client physical and behavioral health care needs, educating clients, building trust between clients and their practitioners, supporting and connecting clients to community recovery programs and enhancing communication and the continuity of care. This position will serve New Hanover, Brunswick, and Pender counties.

The Care Manager Extender will provide appropriate documentation in the client record. As a member of a multidisciplinary team, they consult with other corresponding care team members to coordinate the services of patient education, preventive care and recovery management. The Care Manager not only works with healthcare providers, but they also work with the family and friends of the patient and anyone else involved in caring for the client to ensure proper care is provided.

Essential Duties and Tasks:

• Perform general outreach, engagement and follow-up with members.

• Assist with mailing educational materials, consent forms or other documents to the members as necessary.

• Coordinating services, referrals, and appointments (appointment reminders, arranging transportation)

• Providing and tracking referrals and providing information and assistance in obtaining and maintaining community-based resources and social support services

• Provide culturally appropriate health education and information.

• Engaging in health promotion activities and knowledge sharing

• Sharing information with the care manager and other members of the care team on member’s circumstances

• Support the care manager in assessing and addressing unmet health-related resource needs.

• Advocate for members

• Participating in case conferences

• Identify care gaps and perform outreach to members in attempt to close gaps as requested.

• Access multiple EHR’s to obtain and upload into the care management platform.

• Access to Hospital/Data or the Electronic Medical Record system will be required, as necessary.

• Abide by department guidelines, company policies, and HIPAA regulations.

• Travel using a personal vehicle will be required within the region.

Qualifications / Skills:

• High school diploma or equivalent

• Meets one of the following requirements:

• A person with lived experience with a behavioral health condition who is a Certified Peer Support Specialist

• • Has 2 years of paid experience performing the types of functions described below with at least one year of paid experience working directly with the TCM eligible population

• Certified Peer Support Specialist;

• Community health workers (CHW)

• Individuals who served as Community Navigators prior to the implementation of Tailored Plans

• Parents or guardians of an individual with an I/DD, TBI, and/or a BH/SU condition

• Person with lived experience with a BH and/or SU condition

• Individuals able to meet these qualifications include, but not limited to: