Care Coordination Extender (Remote-NC)

Competitive Compensation & Benefits Package!

• Annual incentive bonus plan
• Medical, dental, and vision insurance with low deductible/low cost health plan
• Generous vacation and sick time accrual
• 12 paid holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company paid life and disability insurance
• Wellness Programs
• Public Service Loan Forgiveness Qualifying Employer

Primary Purpose of Position: The Care Coordination Extender (CC Extender) is an integral part of Partners team approach to providing contractually obligated Care Coordination functions. The CC Extender responsibilities focus on assisting the care team to support the member’s health care needs and to facilitate and organize appropriate member education, resources and alignment of care. This role provides direct support to the member through a collaborative role with the assigned Care Coordinator. CC Extender completes supportive activities, inclusive of in-person support for members when indicated. Travel may be required in this position.

Role and Responsibilities:

Duties of the CC Extender include, but are not limited to, the following:

General Outreach and Engagement / Service Monitoring

• Assist with scheduling and coordinating appointments (e.g., assistance with scheduling appointments, providing wellness reminders, assistance arranging transportation, confirming participation in scheduled appointments, etc.)
• Provide outreach to members to provide information about a community resource or support
• Engage members in health promotion activities and knowledge sharing
• Assist with identifying residential intervention vacancies which may meet needs of member
• Submit and track referrals in NCCARE360 database to connect members to community service provider
• Assist care coordination staff in monitoring consistency of service delivery, as triggered by threshold reports or requests from care coordinator.
• Review service documentation to monitor progress toward individualized goals and fulfillment of the intent of the service authorized
• Provide back-up in-person and telephonic monitoring support for members receiving 1915i services and Care Coordination.
• Sharing information with care coordination 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
• Supporting care coordination in assessing and addressing unmet health-related resource needs.

Benefits Consultation and Support to Members

• Ensure members know what benefits they are eligible to receive, with assistance to enroll in benefit plans as needed
• Support member in navigating the DSS systems including but not limited to Medicaid reviews and applications, continued eligibility requirements, disability benefits through the Social Security Administration
• Communicate with Medicaid and Medicare benefit program to resolve issues
• Notify DSS of benefit issues and develop action plan to resolve

Collaboration with the Care Team and Provider Networks

• Notify Care Coordinator of any new service needs identified during contacts / service monitoring
• Share information with the care coordination and other members of the care team on the member’s circumstances (e.g. alerting care team members of an unexpected move, need, or other event)

Knowledge, Skills and Abilities:

• Basic knowledge of the Medicaid service system
• Working knowledge of the evaluation, care and treatment of people with intellectual & developmental disabilities, mental health and co-occurring disorders.
• Knowledge of community resources
• Good organizational skills and ability to handle multiple priorities and deadlines
• Must be able to prioritize and cope with stress in a positive manner
• Ability to communicate effectively both verbally and in writing with member and care team
• Solid verbal and written communication skills
• Ability to maintain confidentiality
• Ability to work effectively and cooperatively with people from diverse backgrounds Demonstrates flexibility in organizational needs to perform other duties as assigned
• Ability to negotiate and resolve conflict
• Proficient in Microsoft Office and web-based applications

Education/Experience Required:

• High school diploma or equivalent

AND

• Meets one of the following requirements:

• A person with lived experience with BH, I/DD, or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system
• A parent or guardian of an individual with BH, I/DD, or a TBI and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual
• Has 2 years of paid experience performing the types of functions described and with at least one year of paid experience working directly with the LTSS population

AND

• Must reside in North Carolina
• Must have ability to travel as needed to perform job duties

Education/Experience Preferred:

Experience working with individuals with co-occurring physical health and/or behavioral health needs preferred.

Licensure/Certification Requirements: N/A