Director of Tailored Care Management

Caring for all people for the glory of God

Position: Director

Department: Tailored Care Management

Reports To: Chief Operations Officer

Location: Director's office can be located in Pembroke, Laurinburg, or Fayetteville, NC

Initial Scope of Work Summary: The Director of the HealthKeeperz Tailored Care Management (TCM) program is entrusted with the crucial task of establishing, developing, and supporting the TCM program at HealthKeeperz. Working closely with the Human Resources and Quality Improvement/Compliance departments, the director will spearhead the creation of the TCM program, ensuring its alignment with HealthKeeperz's mission and vision.

Initial Key Expectations:

• Building the TCM Program: The director will collaborate with relevant departments to design and implement the program, outlining its structure, processes, and objectives. This includes identifying and acquiring qualified supervisors, case managers, and support staff to form a dedicated team of caregivers. At times the director will be expected to assist supervisors or case managers with direct beneficiary care, which may include carrying a caseload.
• Program Staffing and Leadership: The director will be responsible for recruiting, hiring, and training the TCM program's staff, ensuring they possess the necessary skills and qualifications to deliver exceptional care. Providing strong and compassionate leadership, the director will inspire and guide the team to deliver person-centered care and support.
• Program Growth: The director will play a pivotal role in the growth and expansion of the TCM program. This involves identifying opportunities for expansion, establishing partnerships with relevant stakeholders, and implementing strategies to increase the program's reach and impact.

Ongoing Scope of Work Summary: Once the program is operational and adequately staffed, the director is not expected to be involved directly with beneficiary care, but rather the Director of Tailored Care Management at HealthKeeperz would be responsible for overseeing and leading the program in all HealthKeeperz’s North Carolina locations. This position requires in-depth knowledge of the NC Tailored Care Management guidelines, regulations, and best practices. The Director will ensure the effective implementation and execution of the program, maintain quality standards, and provide leadership and guidance to the Tailored Care Management team. They will collaborate with stakeholders, manage staff, and promote the delivery of person-centered care to individuals enrolled in the Behavioral Health Intellectual/Developmental Disabilities (BH I/DD) Tailored Plan.

Ongoing Key Expectations:

• Program Management and Leadership: Oversee the overall operation and management of the Tailored Care Management program.
• Develop and implement program policies, procedures, and protocols in alignment with NC Tailored Care Management guidelines and regulatory requirements.
• Ensure compliance with all relevant regulations, standards, and quality measures.
• Provide strategic direction and leadership to the Tailored Care Management team.
• Staff Management and Development: Recruit, hire, train, and supervise qualified staff for the Tailored Care Management program.
• Conduct performance evaluations, provide regular feedback, and identify opportunities for professional development and growth.
• Foster a supportive and collaborative work environment that promotes teamwork and individual accountability.
• Care Coordination and Quality Assurance: Oversee the development and implementation of individualized care plans that address the needs of enrolled individuals across physical health, behavioral health, I/DD, pharmacy, LTSS, and other relevant areas.
• Ensure effective coordination of services, including appointments, referrals, and access to community-based resources.
• Monitor and evaluate the quality and outcomes of care management services, identifying areas for improvement and implementing quality assurance measures.
• Stakeholder Collaboration: Collaborate with Medicaid-managed care organizations, healthcare providers, community organizations, and other stakeholders to foster effective partnerships and promote coordinated care for enrolled individuals.
• Represent the Tailored Care Management program in meetings, committees, and external forums.
• Program Evaluation and Reporting: Collect, analyze, and report program data and outcomes to measure the effectiveness and impact of the Tailored Care Management program.
• Prepare reports, presentations, and updates for internal and external stakeholders, as required.
• Budget Management: Manage the budget for the Tailored Care Management program, ensuring efficient allocation of resources and adherence to financial guidelines.

HealthKeeperz Leadership Expectations

:

As a HealthKeeperz leader, the director is expected to embody the principles of the HealthKeeperz Barnabas Culture of Encouragement. This entails fostering a supportive and inclusive work environment, promoting teamwork, and upholding the core values of the organization, including compassion, excellence, ownership, and putting family first. By leading by example, the director will demonstrate a commitment to the mission of HealthKeeperz: caring for all people for the glory of God.

By embracing these responsibilities and aligning their leadership style with the HealthKeeperz mission, vision, values, and culture, the Director of HealthKeeperz Tailored Care Management Program will contribute to the organization's ongoing success and impact in providing high-quality care to individuals in need, the staff they support, and stakeholders we partner with.

Results

The Tailored Care Management Director’s work is expected to produce the following results in the four key pillars of the HealthKeeperz vision statement.

Culture

• All individuals touched by HealthKeeperz will be afforded every opportunity to flourish that we can provide.
• Program Team Leaders/Supervisors will feel invested in, cared for, and supported as they lead their teams.
• Team members will have the opportunity to be part of a fantastic team where they experience life-giving work, partner with outstanding talent, enjoy uplifting growth, receive rewarding compensation, be guided by inspirational leadership, contribute to sustainable strategies, and share in healthy communication.

Innovation

• Encouragement for employees to think creatively, take calculated risks, and generate new ideas.
• Internal and external collaboration will be encouraged.
• Smart investments in technology and infrastructure that drive innovation.
• The role of the Director of Tailored Care Management at HealthKeeperz is instrumental in driving innovation within our organization. By spearheading the implementation of an innovative system of care, the director would play a vital role in ensuring that HealthKeeperz delivers the highest level of care to our beneficiaries, achieves improved outcomes, and attracts top talent. Emphasizing innovation not only enables us to provide exceptional care but also positions us at the forefront of industry trends, allowing us to respond to evolving patient and market needs proactively.

Excellence

• Fostering a culture of compliance and excellence that sets clear expectations.
• Achieving compliance and excellence in regulatory compliance, quality metrics, and safety outcomes.
• Enhancing patient outcomes through continuous improvement and innovative approaches.

Financial Health

• Meets revenue, margin, and collection goals.
• Creates an opportunity for HealthKeeperz to engage in the ministry of financial stewardship.

Skills: The Director of the Tailored Care Management program leads a comprehensive, person-centered approach to care coordination. The following skills reflect the specific expertise and qualifications required for the Director of a Tailored Care Management program.

• Person-Centered Thinking/Planning
• Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
• Knowledge of the NC Division of Mental Health, Developmental Disabilities, and Substance Abuse IPRS Target Populations and Service Array
• Knowledge of 1915(b) and NC Innovations Waiver
• Knowledge of Medicaid and Innovations Service Array
• Knowledge of applicable Federal laws, including Substance Abuse and HIPAA Privacy Laws
• Knowledge of and skilled in the use of Motivational Interviewing
• Knowledge of LOC process, SIS for IDD, and FASN assessment for TBI
• Knowledge of using assessments to develop plans of care.
• Demonstrated knowledge of the assessment and treatment of developmental disabilities, with or without co-occurring mental illness
• Proficiency in Microsoft Office products (Word, Excel, Teams, Outlook, etc.)
• Strong interpersonal skills
• Conflict management and resolution skills
• Strong written and verbal communication skills
• ISP development training
• Ability to make prompt, independent decisions based on relevant facts.

Education/Certifications

• A master’s-level fully Licensed Clinical Social Worker (LCSW), fully Licensed Clinical Mental Health Counselor (LCMHC), fully Licensed Psychological Associate (LPA), fully Licensed Marriage and Family Therapist (LMFT), or licensure as an RN;
• AND Three years of experience providing care management, case management, or care coordination to the population being served.

Physical Demands:

The above statements describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required for the position. This position also requires standing, sitting, walking, lifting, and other physical activities for extended periods, including driving. All employees may have other duties assigned at any time.

Job Type: Full-time

Pay: From $70,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus opportunities

Ability to commute/relocate:

• Pembroke, NC: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• What is your salary expectation of this position?

Education:

• Master's (Required)

Experience:

• Case management: 3 years (Required)

License/Certification:

• Driver's License (Required)
• RN License (Preferred)
• Licensed Clinical Social Worker (Preferred)
• Licensed Psychologist Credentials (Preferred)
• LCMHC (Preferred)
• LMFT (Preferred)

Willingness to travel:

• 25% (Preferred)

Work Location: In person

Salary : $70,000 - $-1