JOB SUMMARY:

The care management staff that KPPC employs are all state-licensed Registered Nurses or Licensed Social Workers. These professionals all have thorough knowledge of North Carolina patient resources and requirements to ensure that they are familiar with the unique communities and demographics that they serve. Our care management program is a team-based approach and works closely in conjunction with the PCP and clinical care team to develop and implement the best care plan for the patient. Since the staff consists of professionals with varying specialties, each patient is assessed based on risk scores and clinical judgment to determine the correct level of care management needed with each professional’s scope of practice. 

JOB DUTIES:

· Performs comprehensive clinical assessments, identifies symptoms of mental health diagnoses, and makes appropriate treatment recommendations 

· Evaluates assessment results, level of risk, develops a care plan in coordination with patient/family, and utilizes evidence-based therapy modalities/skills with families during care plan follow-up

· Maintains an up-to-date database of local and statewide resources 

· Refers patient/family to relevant resources

· Demonstrates professional responsibility

· Maintains compliance with KPPC Quality and Care Management Policies

· Maintain accurate and timely updates to the care plan and EHR record as needed

· Maintain contact with patient/family via phone, in-person visits

· Reviews ADT (Admission, Discharge, Transfer) information daily, and based on risk stratification policy and clinical judgement, contacts the patient to discuss follow-up

· Medication Reconciliation following admission, discharge, or transfer

Benefits that Matter!

• Paid Time Off
• Matching 401K
• Annual Merit Increases
• Mental Health and Counseling Programs
• Dental and Orthodontic Coverage
• Vision Insurance
• Health Care with Low Premiums
• Short-term Disability
• Access to Virtual Health & Wellness

QUALIFICATIONS:

1. Required:

a. RN license in North Carolina

b. 1–2 years of clinical experience

c. Proficiency in navigating EMR systems and other health technologies

d. Proficiency in Microsoft Word, Excel, and Outlook

e. Weekend and Holiday Call

2. Preferred

a. CCM Certification

b. Case Management experience