TCM Care Manager

Department: Tailored Care Management

Location: Hybrid (In-Office, Field, and Remote)

Service Area: Mecklenburg

Schedule: Monday -- Friday | 8:30 AM -- 5:00 PM

Position Summary

Epiphany Family Services is seeking a compassionate and detail-oriented TCM Care Manager to serve as the primary point of coordination for individuals enrolled in our Tailored Care Management (TCM) program.

This role ensures the delivery of person-centered, comprehensive, and high-quality care by assessing needs, developing individualized service plans, coordinating services, and advocating for clients. The Care Manager collaborates with individuals, families, healthcare providers, and community partners to improve overall health outcomes and quality of life.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions. Additional duties may be assigned as needed.

Key Responsibilities

Care Management & Coordination

Conduct comprehensive assessments of physical, behavioral health, and social needs
Develop, implement, and monitor individualized care plans based on client goals
Coordinate services across medical, behavioral health, housing, and social service systems
Provide ongoing follow-up, care coordination, and health promotion

Referrals & Resource Linkage

Connect individuals to appropriate community resources
Address Social Determinants of Health (SDOH), including housing, education, access to care, and community support
Empower individuals to actively manage their health and wellness

Transitions of Care

Coordinate follow-up within 24 hours of hospital or emergency department discharge
Support individuals through life transitions (e.g., housing changes, incarceration release)

Crisis Response

Identify and respond to crisis situations in accordance with agency protocols
Participate in on-call rotation and 24/7 crisis response as required
Participate in post-crisis debriefings and prevention planning

Collaboration & Advocacy

Build and maintain relationships with interdisciplinary care teams and community partners
Advocate for equitable access to services and resources
Educate clients and families on available services and self-management strategies

Documentation & Compliance

Maintain accurate, timely, and compliant documentation in accordance with state, federal, and program guidelines
Monitor client progress and adjust care plans as needed

Quality Improvement & Additional Duties

Participate in team meetings, trainings, and Quality Improvement (QI) initiatives
Monitor utilization, outcomes, and compliance metrics
Perform additional duties as assigned

Qualifications

Education & Experience

Bachelor's degree in Social Work, Nursing, Human Services, or related field required; Master's preferred
Minimum of 2 years of experience in care management, case management, or care coordination
Experience working with individuals with behavioral health conditions, chronic health needs, or social barriers.

Qualified Professional (QP) Requirements -- North Carolina

Candidates must meet Qualified Professional (QP) criteria in accordance with 10A NCAC 27G. To qualify, candidates must meet one of the following:

Be a fully certified professional through the North Carolina Addictions Specialist Professional Practice Board (NCASPPB) with 4 years of full-time experience working with the MH/DD/SUD population
Note: CADC-R and CADC-I are not considered full certification

OR

Meet degree and experience requirements as follows:

For CADC Credential Holders

If, no college degree:
- Minimum 4 years of full-time experience with MH/DD/SUD population
If college graduate: must meet one of the following:
- Master's degree in a human services field 1 year of supervised MH/DD/SUD experience
- Bachelor's degree in a human services field 2 years of supervised MH/DD/SUD experience
- Bachelor's degree in a non-human services field 4 years of supervised MH/DD/SUD experience

OR

Be a Substance Use Disorder Professional with equivalent supervised experience:
- 1 year (Master's level)
- 2 years (Bachelor's in human services)
- 4 years (Bachelor's in non-human services)

Skills & Competencies

Strong understanding of care management principles and community resources
Knowledge of ICD-10 coding and behavior management techniques
Excellent communication, organizational, and problem-solving skills
Ability to manage a caseload and prioritize effectively
Proficiency in EHR systems and Microsoft Office

Licensure/Certification (Preferred)

Licensed Social Worker, Registered Nurse, or other applicable credential
Valid driver's license and reliable transportation for community-based work

Work Environment

Hybrid work model (in-office, remote, and field-based services)
Travel within assigned service areas required
Flexible hours may be needed to meet client needs
Care Manager JD

Benefits

Epiphany Family Services offers a comprehensive and competitive benefits package:

Medical, Dental, and Vision Insurance
Short-Term Disability (STD) & Long-Term Disability (LTD)
Group Life Insurance
80 Hours of PTO (Vacation, Sick, and Personal Time)
Paid Holidays
Employee Discount Program (Tickets at Work)

About Epiphany Family Services

Epiphany Family Services is committed to providing an integrated system of care to individuals from diverse backgrounds. We empower those experiencing mental health and substance use challenges with the tools needed to achieve and sustain recovery.

EEOC Statement

Epiphany Family Services, LLC is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, genetic information, veteran status, or any other protected status under federal, state, or local law.

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EPIPHANY FAMILY SERVICES