Director-TCL Care Management (Full Time, Remote, North Carolina Based)

Alliance Health · via Himalayas ·

Budget / Salary$119,264–152,062
TypeFull-time job
LocationUnited States
Posted1 hour ago
The Director of Transition to Community Living and Care Management (TCM-CM) is responsible for the leadership, operational oversight, implementation, and performance of care management services supporting members with complex behavioral health, physical health, intellectual and developmental disabilities, traumatic brain injury, serious mental illness, severe substance use disorder, and housing-related needs. The Director provides leadership to managers and supervisors responsible for TCL and CM operations, ensuring compliance with state and federal regulations, Tailored Plan requirements, Department of Justice Settlement obligations, accreditation standards, and organizational priorities.
The Director is responsible for translating strategic priorities into operational execution, developing leaders, monitoring program performance, supporting budget stewardship, and advancing whole-person care models that improve member outcomes, promote community integration, and support housing stability. The Director partners closely with Senior Leadership to identify risks, opportunities, and innovative approaches that improve quality, outcomes, and operational effectiveness.
This position is required to reside in North Carolina within 40 miles of one of the counties within the Alliance catchment areas (Mecklenburg, Wake, Durham, Orange, Johnston, Harnett, or Cumberland).
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties
People Leader

Work with Human Resources to attract, maintain, and retain a highly qualified and well-trained workforce

Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes

Provide direct clinical and administrative supervision of team members. This may include routine clinical review of cases, interpretation of census data, and advising team members regarding outreach to network providers regarding cases where care teams are engaged

Accountable to ensure organized workflows that contribute to staff understanding of their roles and responsibilities

Evaluate that the department has the needed tools and resources to achieve organizational goals, positive member outcomes, and support employees and ensure compliance with licensure, regulatory, and accreditation requirements; with recommendations and advocacy for the appropriate resources

Actively establish and promote a positive, diverse, and inclusive working environment that builds trust

Ensure all staff are treated with respect and dignity

Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members

Work to resolve conflicts and disputes, ensuring that all participants are given a voice

Set goals for performance, productivity, and deadlines in line with contractual and regulatory requirements, evidence-based best practices, operational procedures, and organizational goals and values

Effectively communicate feedback and provide ongoing coaching and mentoring to staff

Support a learning environment to advance team skills and professional development

Cultivate and encourage efforts to expand cross-team collaboration and partnership

Program Leadership & Strategic Planning

Develop and execute operational strategies for Transition to Community Living and Care Management programs that align with organizational goals and strategic priorities

Translate departmental strategic initiatives into measurable operational plans and program objectives

Monitor emerging trends, regulatory changes, and best practices impacting care management, housing stability, integrated care, and population health

Collaborate with Senior Directors to support implementation of divisional strategic plans

Lead operational planning activities related to program compliance and process improvement

Develop recommendations to improve member outcomes, program effectiveness, and staff efficiency

Identify opportunities to expand innovative approaches supporting integrated care and community living

Leadership Development & Workforce Management

Provide direct oversight, coaching, and development of managers and supervisors responsible for TCL and TCM functions

Establish leadership development plans and succession planning strategies for emerging leaders

Foster a culture of accountability, engagement, innovation, collaboration, and continuous improvement

Monitor workforce capacity, staffing ratios, workload distribution, and employee engagement

Ensure managers effectively supervise, mentor, and develop staff

Promote cross-functional collaboration and professional development opportunities across programs

Support recruitment, onboarding, retention, and talent development initiatives

Partner with Human Resources regarding performance management, disciplinary actions, and workforce planning activities

Operational Oversight & Performance Management

Oversee daily operations across TCM and TCL programs to ensure compliance with regulatory, contractual, accreditation, and organizational requirements

Monitor key performance indicators, productivity metrics, quality outcomes, timeliness standards, and program deliverables

Ensure appropriate member assignment, risk stratification, care management activities, and caseload management practices

Monitor escalations, critical incidents, member grievances, housing barriers, and other high-risk situations

Develop corrective action plans and performance improvement initiatives when performance expectations are not met

Ensure operational consistency through standardized workflows, desk references, policies, and procedures

Evaluate operational effectiveness and implement improvements to increase efficiency and service quality

Financial Stewardship & Resource Management

Monitor program expenditures and staffing resources to ensure effective utilization of departmental funds

Assist Senior Directors in budget planning, forecasting, variance analysis, and resource allocation activities

Review operational spending trends and identify opportunities to improve efficiency and maximize available resources

Evaluate staffing and operational resource needs based on program growth, contractual requirements, and member needs

Support development of business cases, funding requests, and operational proposals

Monitor contracted service utilization and identify opportunities for cost-effective service delivery while maintaining quality outcomes

Ensure responsible stewardship of departmental resources and adherence to budget expectations

Transition to Community Living & Housing Stability Oversight

Provide oversight of Transition to Community Living operations including post housing support, services utilization, community integration, and other settlement-related activities

Ensure compliance with TCL contractual, monitoring, documentation, and reporting requirements

Monitor housing stability outcomes and identify trends impacting member success

Ensure implementation of permanent supportive housing principles and person-centered practices

Monitor member transitions, housing separations, and rehousing activities to ensure timely intervention and positive outcomes

Collaborate with housing and community partners to address system barriers

Quality, Compliance & Data Analytics

Utilize operational and population health data to evaluate performance and guide decision-making

Ensure compliance with federal and state regulations, Tailored Plan requirements, accreditation standards, and Department of Justice Settlement obligations

Oversee audit readiness activities, documentation quality reviews, corrective action plans, and performance monitoring

Ensure policies, procedures, workflows, and training materials remain current and compliant

Evaluate outcome measures and quality indicators to identify risks and improvement opportunities

Promote evidence-based and data-driven approaches to care management and community living services

Internal & External Stakeholder Engagement

Develop and maintain collaborative relationships with providers, state agencies, housing organizations, county partners, and community stakeholders

Represent Care Management leadership in internal and external meetings, workgroups, and committees

Collaborate with Practice Transformation, Quality Management, Medical Services, Community Health, Housing, Network Operations, and other applicable leadership

Present operational results, recommendations, and performance outcomes to senior leadership

Facilitate resolution of operational barriers that impact members, providers, and staff

Promote shared accountability for member outcomes across departments and stakeholder groups

Minimum Requirements
Education & Experience
Required:
Master's degree from an accredited college/university in mental health, public health, social work, psychology, education, sociology, business or public administration and five (5) years of experience in a community, business, or governmental program in health-related fields, social work, or education, including three (3) years of supervisory, consultative or administrative experience.
Or
Bachelor’s degree in nursing from an accredited college/university and seven (7) years of experience in a community, business, or governmental program in health-related fields, social work, or education, including three (3) years of supervisory, consultative or administrative experience.
Must have a valid, active clinical license as a LCSW, LMFT, LCMHC, LPA, or RN in North Carolina.
Certified Care Management required within two (2) years of hire (NACCM, CCMC, or ACCM).
Preferred:

Certified Substance Abuse Counselor (CSAC) or Addictions Specialist Professional

NADD IDD/MI Dual Diagnosis Certification

Experience with Transition to Community Living Initiative

Experience with Tailored Care Management

Knowledge, Skills, & Abilities

Thorough knowledge of the care needs for individuals with serious mental illness and/or severe substance use disorder with co-occurring acute and chronic conditions.

Thorough knowledge of whole person care and population health approaches to care management.

Knowledge of Microsoft Outlook and Teams.

Demonstrated knowledge of data interpretation and articulation of finding in easy-to-understand communication.

Demonstrated ability to identify reporting needs and associated requirements.

Demonstrated application of knowledge in excel, word, and power point.

Strong oral and written communication skills.

Problem-solving and Program analysis skills.

Change Management and Conflict Resolution skills.

Interpersonal skills.

Detail oriented, able to independently organize and effectively manage multiple competing priorities.

Ability to effectively manage under pressure of deadlines.

Ability to build and maintain positive relationships with internal and external customers and stakeholders.

Knowledge of quality improvement processes.

Knowledge of TCL Settlement Agreement

Knowledge of Tailored Care Management

Salary Range
$119,264 - $152,062/ Annual
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 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:
Originally posted on Himalayas
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