Pediatric Complex Care Manager

TRILLIUM HEALTH RESOURCES

2d • Remote

About The Position

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Trillium Health Resources has a career opening for a Pediatric Complex Care Manager to join our team! The Pediatric Complex Care Manager provides support to Medicaid-eligible children who require intensive support for a variety of needs, including but not limited to intellectual/developmental disabilities, mental health, and/or complex medical conditions. This position supports both the 0-5 and Children with Complex Needs populations within a managed care environment. The Pediatric Complex Care Manager engages an integrated care team that works toward meeting the health and well-being needs of each individual through assessment, planning, and linking to services and community support.

Requirements

• Must meet QP status, defined as the following: Fully licensed by the NC governing board regulating Human Services professions; OR Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served; OR A graduate of a college or university with a Master’s degree in a human services field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling; OR A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; OR A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre- or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
• Minimum two (2) years of prior HCBS coordination, care delivery monitoring, and care management experience. This experience may be concurrent with the years of experience required to become a Qualified Professional.
• Must have a valid driver’s license
• Must reside within North Carolina
• Must be able to travel within catchment as required.

Nice To Haves

• Work experience in Care Management, Care/Service Coordination, Early Intervention, Mental Health Counseling, working with dually diagnosed children; IDD/BH/MH/SU.

Responsibilities

• Assist the member supported to direct the planning process/plan development to the extent desired by the member.
• Facilitate timely development of the Comprehensive Care Management Assessment, Individual Support Plan/Care Plan, Crisis Plan, 1915(i) Assessment, and other assessments as needed.
• Collaborate with members supported and members of the support team to ensure development of a comprehensive plan that reflects the member’s needs and desired life goals, as well as the physical, behavioral health, and social determinant needs, service delivery, and health and safety of the member.
• Responsible for ensuring Care Coordination engagement, collaboration with members, and families to address issues, concerns, barriers to assessment and services/supports.
• Provide resources and information to members, parents, and caregivers, as needed.

Benefits

• Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
• Work-from-home options available for most positions
• Health Insurance with no premium for employee coverage
• Flexible Spending Accounts
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
• NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook [https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook]
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level