SUD Care Manager coordinating care for Fallon Health members with substance use disorder needs. Collaborating with clinical teams and community providers for effective member support.
Responsibilities
Conduct a daily review of SUD Census reports and disseminate member-level information to assigned Fallon Care teams
Collaborate with clinical teams of assigned SUD providers on treatment plans and discharge planning of members on inpatient units
Works collaboratively and cohesively with all members of the care team (both internal and external staff and providers)
Act as primary liaison with SUD facilities at all levels of care and community providers to assist with treatment planning as needed
Monitor SUD HEDIS measures and identify opportunities for improvement
Develops workflows and educates Team on workflows as appropriate
Requirements
Master’s degree from an accredited school of social work, mental health counseling, psychology, or human services required
Active, unrestricted license as a LCSW, LICSW or LMHC; LADC preferred
Minimum of 3 years of experience in behavioral health or case management
Knowledge of SUD programs, 42CFR part 2, and HEDIS measures
Strong communication and collaboration skills
Familiarity with HIPAA regulations and confidentiality standards.
Benefits
Health insurance
401(k) matching
Paid time off
Hybrid work arrangements
Job title
Substance Abuse Care Manager – LCSW, LICSW, LMHC, LADC preferred
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