Care Manager (BH)
About The Position
The Care Manager develops, assesses, and facilitates complex care management activities for members with primarily mental and behavioral health needs. The role supports foster care members and focuses on high-quality, cost-effective healthcare outcomes, including personalized care plans and education for members and their families related to mental health and substance use disorders. The position requires up to 75% local travel, with remote work from home during the remaining time. Applicants must live in Reno, Stafford, Rice, or Barton County. The schedule is Monday through Friday. Necessary computer equipment is provided, and mileage is reimbursed at the current IRS rate. A $2,500 sign-on bonus is currently offered. The role requires a master's degree in Behavioral Health or Social Work, or a degree from an accredited school of nursing, along with 2–4 years of related experience. Applicants must be a licensed master's behavioral health professional (such as LCSW, LMSW, LMFT, LMHC, or LPC) or an RN, based on state contract requirements, with behavioral health experience.
Requirements
- 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 behavioral health experience.
- Must live in Reno, Stafford, Rice, or Barton County.
- Able to travel locally up to 75% of the time.
Responsibilities
- Evaluate member needs through phone or in-home visits, assess available resources, and recommend or facilitate care plans or service plans for the best outcomes, including behavioral health and social determinant needs.
- Conduct outreach through telephonic, digital, home, or other site visits to assess member needs and collaborate with resources.
- Develop ongoing care plans for members with high acuity and identify providers, specialists, and community resources needed for care, including mental health and substance use disorder services.
- Coordinate among members and their families or caregivers, community resources, and care provider teams to help ensure identified services are accessible.
- Monitor care plans, service plans, member status, and outcomes for changes in treatment side effects, complications, or clinical symptoms, and recommend care plan updates based on member needs.
- Facilitate care coordination and collaborate with providers or specialists to support timely access to needed care or services.
- Collect, document, and maintain member information and care management activities to ensure compliance with applicable state, federal, and third-party payer regulations.
- Educate members and families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, including behavioral health and social determinant needs.
- Provide leadership with feedback about opportunities to improve care and quality delivery for members in a cost-effective manner.
- Perform other duties as assigned.
- Comply with all policies and standards.
Benefits
- $2,500 sign-on bonus
- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plan
- Tuition reimbursement
- Paid time off
- Holidays
- Flexible approach to work with remote, hybrid, field, or office work schedules
- Computer equipment provided
- Mileage reimbursement at the current IRS rate
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
