Manager Cigna Rn Remote Jobs in Raleigh, NC (NOW HIRING)

This individual serves as the primary liaison with the Division of Social Services, coordinating outreach, distributing materials, understanding the scope of services and programs, coordinating through local DSS offices, and serving as a primary contact to triage and escalate member specific or BH I/DD Tailored Plan questions.

This position is fulltime remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required. 

 Responsibilities and Duties

Assist Members with gaining access to services

• Work with the various Division of Social Services in the Alliance catchment area to provide education, coordination, triage/escalation support, and technical assistance
• Collaborate with member’s assigned Care Manager to assist with coordination across identified member supports, providers, and community service agencies
• Address barriers to accessing resources, services and programs
• Participate in treatment team meetings as needed with the member’s Care Team
• Provide recommendations to improve access to services and the coordination of care between Alliance and DSS

Coordinate care with DSS

• Participate in regularly scheduled meetings with DSS representatives to review members who are in need of a mental health residential placement/service, identify placement/service needs, and barriers to placement/services

Coordinate with Provider Networks

• Work collaboratively with Provider Networks, the Care Manager, and other Alliance support staff to identify vacancies and establish single-case agreements with out-of-network providers when necessary

Travel

• Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required
• Travel to meet with members, providers, stakeholders, attend court hearings etc. is required

Minimum Requirements

Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of post-bachelor’s degree MH/DD/SA experience with the population served

Or

Bachelor’s degree from an accredited college or university in Non-Human Services field and four (4) years of post-bachelor’s degree MH/DD/SA experience with the population served

Or

Master’s Degree from an accredited college or university in Human Services field and one (1) year of post graduate degree MH/DD/SA experience with the population served

Or 

Fully or Provisionally Licensed in the State of North Carolina as a LCSW, LCMHC, LPA, or LMFT 

Or

Licensed Registered Nurse (RN) in the State of North Carolina with four (4) years of MH/DD/SA experience with the population served

Preferred: 

Knowledge and experience collaborating with county departments of social services, department of juvenile justice, crisis response, and community-based treatment providers including training highly preferred. NACCM, NADD-Specialist and/or CBIS Certification

Knowledge, Skills, and Abilities

• Knowledge of System of Care Principles
• Knowledge of Managed Care Principles
• Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
• High level of diplomacy and discretion
• Microsoft Office Skills
• Excellent Communication Skills
• Care Management 
• Community Inclusion
• Knowledge of Housing

Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Registration) check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.

Salary Range

$28.96 - $37.65/Hourly 

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.   

 An excellent fringe benefit package accompanies the salary, which includes:     

• Medical, Dental, Vision, Life, Long and Short Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

Want to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: https://youtu.be/1GZOBFx61QU