Care Manager, Health Plan, Behavioral Health - Remote

Overview

The Care Manager is responsible for the assessment, care planning, and coordination of care and services for members with behavioral health conditions, ensuring a person-centered approach to care management.

In Short

• Conduct assessments and develop individualized care plans.
• Coordinate care and monitor member progress.
• Provide education to members and families on health strategies.
• Oversee assigned care support team activities.
• Conduct health risk assessments and crisis interventions.
• Work with interdisciplinary teams to improve care outcomes.
• Ensure compliance with care management standards.
• Advocate for members' care needs and address gaps in care.
• Utilize knowledge of mental health and substance abuse resources.
• Maintain strong communication with all stakeholders involved in care.

Requirements

• Current licensure in relevant fields (LCSW, LPC, RN, etc.).
• Minimum of 5 years of experience in healthcare or behavioral health.
• Strong organizational and time management skills.
• Experience with care management processes.
• Knowledge of utilization management procedures.
• Ability to analyze and implement solutions for quality care.
• Understanding of DSM V and psychiatric/medical terminology.
• Excellent written and verbal communication skills.

Benefits

• Competitive salary with potential for short-term incentives.
• Comprehensive benefits package including health and life insurance.
• Opportunities for professional growth and development.
• Support for physical, mental, and financial well-being.
• Inclusive workplace culture that values diversity.