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Care Manager-Quality Assurance
Company : ResCare Community Living
Location : Raleigh, NC
Job Type : Full Time
Date Posted : 14 January 2026
Our Company
ResCare Community Living
Overview
Work in conjunction with diverse clinical teams and utilize community resources to meet the needs of individuals receiving care management services. Provide services in accordance with care management service requirements set by the state and company. Responsible for developing and monitoring Tailored Care Management care plans and Individual Support Plans (ISPs) built from comprehensive assessments to an assigned caseload.
Responsibilities
- Develops positive relationships among and between members, family/guardians, Extenders, clinical and care team members and other community stakeholders to create an environment of compassion and professionalism, driving toward positive health and quality of life outcomes.
- Responds proactively to alerts from Extenders concerning unmet health-related needs and identified barriers and gaps to reduce adverse health and quality of life indicators.
- Develops positive relationships with all funding sources that exhibits the willingness to obtain common objectives related to care management.
- Engages the member/family/guardian to establish rapport and provide required and as needed contact, ensuring service provision is up to date and follow through is completed.
- In conjunction with the member, selects members for the care team (adjusting as needed).
- Conducts the Comprehensive Health Assessment on the member, with stakeholder input, to obtain baseline information needed to formulate a care plan.
- Coordinates, schedules, sets the agenda for and assists the member in chairing care team meetings (times, dates, locations, etc.) and informs all team members.
- Develops, implements, reassesses, oversees the implementation of and evaluates the Care Plan/ISP for the member to ensure that the members health needs are addressed in a comprehensive, holistic, and preventive manner, with quality as a goal.
- Manages care transitions and transition plans.
- Ensures medication monitoring and reconciliation occur.
- Monitors/implements/supervises delivery of service plans and personal futures plan and training of staff.
- Documents all information gathered/received electronically in a timely manner.
- Provides documentation of billable events that align with minimum contact expectations to the Care Management Supervisor.
- Maintains an accurate, up-to-date electronic information data stream on all interactions, encounters, activities, care team meetings, and communications with the member/family/guardian.
- Promotes and coordinates comprehensive care among medical, pharmaceutical, psychosocial, social, mental, physical, home health, ancillary providers, and other community agencies, supporting individuals with referrals as needed.
- Connects members with medical, mental, developmental, psychosocial, housing, transportation, home health, and community support services/systems to achieve a comprehensive, holistic, preventive approach.
- Empowers the member/family/guardian and other team members with knowledge that aids in implementing the care plan, treatment plan, medication regimen, and appointment keeping.
- Identifies barriers, gaps, and unmet health-related needs are addresses them proactively, expanding relationships and linkages to aid in meeting member’s needs.
- Supervises up to two FTEs of care management extenders.
- Provides services that meet national, state, and local healthcare standards at the highest level.
- Reports issues of concern, general departmental activities and staffing needs to the Care Management Supervisor.
Completes all required training and participates in educational sessions to improve overall skills.
Attends industry meetings, training, and functions to promote positive relationships with stakeholders.
Participates in quality improvement and measurement activities to achieve identified targets and outcomes.
Completes other duties as assigned.
Qualifications
Qualifications:
- Years of experience as specified below.
- Two years of experience as a Care Manager, Case Manager, or Care Coordinator preferred.
- Ability to perform work with a high degree of quality and autonomy.
- Must meet all agency requirements for pre-employment and those required by the state of NC.
Education:
- A license, provisional license, certificate, registration, or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience with the IDD population; or
- A Master’s degree in a human service field and one year of full-time, post-graduate degree accumulated experience with the IDD population; or
- A bachelor's degree in a human service field and two years of full-time, post-bachelor's degree accumulated experience with the IDD population; or
- A bachelor's degree in a field other than human services and four years of full-time, post-bachelor's degree accumulated experience with the IDD population; and
For care managers serving members with LTSS needs: two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience, in addition to the requirements cited above. (This experience may be concurrent with the two years of experience working directly with individuals with I/DD, or a TBI, above.)
About our Line of Business
ResCare Community Living, an affiliate of BrightSpring Health Services, has five decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental, or cognitive disability. We provide a comprehensive range of high-quality services, including: community living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day programs. For more information, please visit www.rescarecommunityliving.com. Follow us on Facebook and LinkedIn.Salary Range
USD $21.64 - $26.44 / HourRelated Jobs
Shelby, NC
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Frequently asked questions
Care -Quality Assurance professionals play a critical role improving health results by coordinating with clinical teams and community resources. In Raleigh, NC, they ensure tailored care plans meet state standards, bridging gaps in services and enhancing quality of life for individuals with developmental disabilities.
Progression often leads from direct care coordination to senior quality roles or management, including leadership in clinical quality improvement projects. Developing expertise in care plan development and LTSS coordination can open paths to strategic roles in healthcare quality assurance across diverse organizations.
Strong communication with families and clinical teams, expertise in comprehensive health assessments, and proactive problem-solving for unmet health needs mark top performers. Additionally, skill in managing care transitions and familiarity with electronic documentation systems are essential for quality oversight.
Raleigh employers often prefer candidates holding licenses or certifications in human services or nursing recognized by North Carolina boards. Certifications related to LTSS or HCBS care coordination enhance employability, reflecting compliance with state healthcare quality standards.
Raleigh’s expanding healthcare sector drives steady demand for skilled care managers, though competition remains moderate. Candidates with experience in intellectual and developmental disabilities and LTSS coordination have a distinct advantage in securing roles amidst growing community living service providers.
At ResCare, the role extends beyond traditional care management to include supervising care extenders and engaging actively with diverse stakeholders. Emphasis on holistic, preventive care plans aligned with company and state standards defines the position’s unique operational scope.
ResCare’s focus on individuals with intellectual and developmental disabilities entails specialized care coordination involving community integration and multidisciplinary collaboration. This creates a dynamic environment demanding adaptive care planning and strong leadership in quality assurance.
Salary ranges from $21.64 to $26.44 per hour reflect the regional standards for care management roles focusing on quality assurance, factoring in experience and specialized skills in LTSS and intellectual disability services within North Carolina’s healthcare landscape.
Navigating diverse community resources and aligning multiple stakeholders’ goals can be complex. Additionally, addressing gaps in health services and ensuring adherence to evolving state regulations require adaptability and proactive communication skills.
Raleigh’s moderate cost of living and community-oriented culture support a balanced lifestyle. Accessible public services and healthcare networks facilitate efficient care coordination, while local demand for quality care management encourages stable employment with reasonable commute times.