Care Manager developing complex care management activities for mental and behavioral health needs. Evaluating member needs and collaborating with resources in a hybrid work setting.
Responsibilities
Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members
Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome
May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care
Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team
Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms
Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
Requirements
Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing
2 – 4 years of related experience
Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
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