Behavioral Health Managed Care Coordinator

Greenville, NC 27858

Posted: 12/05/2024 Employment Type: Temporary Industry: Outreach/Behavioral Health Job Number: 0187 Pay Rate: BOE, starting at $16.00/hour+

Job Description

Are you passionate about helping others, and are you looking for a fulfilling career with the flexibility to work from home?  Leading eastern North Carolina employer is seeking a Behavioral Health Managed Care Coordinator.

Contract position lasting through December 31, 2024, with the possibility of an extension.

**Coordinators will work remotely but must reside within the catchment area in North Carolina.**

Job Summary:

Managed Care Coordinators will play a pivotal role in supporting individuals eligible for the Innovations Waiver by managing the Registry of Unmet Needs (RUN). This position involves coordinating, reviewing, and processing applications, providing essential support to applicants, and maintaining accurate documentation.

Responsibilities:

  • Coordinate and maintain a Registry and waitlist for individuals in the catchment area requesting I/DD state-funded services.
  • Conduct thorough reviews of applicant lists to determine potential eligibility.
  • Provide comprehensive education and support to individuals and families regarding the RUN process, available resources, and services.
  • Assist members in gathering necessary clinical information and initiating Medicaid or disability determination processes.
  • Review psychological evaluations and other clinical documentation for completeness and required components.
  • Support members, families, or Legal Representatives in obtaining essential clinical information.
  • Provide guidance on disability determination and Medicaid processes.
  • Conduct various outreach activities to RUN list members.
  • Maintain meticulous documentation in compliance with Managed Care Organizations (MCO) and state regulations.
  • Contribute to ongoing projects as assigned, including independent tasks.
  • Generate project status reports and updates using dashboards and Smartsheet.

Qualifications:

  • Strong organizational and time management skills.
  • Excellent communication and interpersonal abilities.
  • Proficiency in Microsoft Office Suite and database management skills.  
  • Attention to detail and accuracy.
  • Ability to work independently and as part of a team.
  • Minimum associate degree in a Human Services related field.
  • Minimum of 2-4 years’ experience with the I/DD population.

Job Requirements

Minimum associate degree in a Human Services related field.

Minimum of 2-4 years’ experience with the I/DD population.

**Coordinators will work remotely but must reside within the catchment area in North Carolina.**

 

Additional Information

Pre-employment CBC and Drug Screen required. 

Hours: Monday - Friday, 8:30 a.m. - 5:00 p.m. 

 

#neasepersonnel   #nowhiring   #easternncjobs    #staffing  #behavioralhealth

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Explore exciting job opportunities in and around Greenville, North Carolina, where endless growth possibilities await! Nestled in the heart of Eastern North Carolina, Greenville boasts a charming blend of Southern hospitality and vibrant culture. From the stunning scenery of the River Park North and the artistic flair of the Greenville Museum of Art to the delicious Eastern-style BBQ and lively events at the Dowdy-Ficklen Stadium, this area has something for everyone. Consider launching your career here and be part of a community that values innovation, career advancement, and quality of life. Start your job search today and unlock a world of possibilities in Greenville, NC!