Care Manager (BH)
About The Position
Develops, assesses, and facilitates complex care management activities for members with primarily mental and behavioral health needs, supporting high-quality, cost-effective healthcare outcomes. Creates personalized care plans and provides education to members and their families about mental health and substance use disorder. This role supports foster care members and requires applicants to live in one of the specified northwest Kansas counties. The position involves up to 75% local travel, with remote work from home for the remaining time. The work schedule is Monday through Friday. Necessary computer equipment is provided, and mileage is reimbursed at the current IRS rate. A $5,000 sign-on bonus is offered. The Care Manager evaluates member needs through phone contact or in-home visits, recommends or facilitates care plans and services, and connects members with providers, specialists, and community resources. The role coordinates care with members, families or caregivers, and providers; monitors member status and care outcomes; documents activities in accordance with regulatory requirements; and provides education about healthcare procedures, treatment options, referrals, and benefits. The role also provides leadership with feedback on opportunities to improve care quality and cost-effectiveness. Applicants must have a master's degree in Behavioral Health or Social Work, or a degree from an accredited school of nursing, and 2–4 years of related experience. A relevant licensed master's-level behavioral health credential (such as LCSW, LMSW, LMFT, LMHC, or LPC), or an RN license based on state contract requirements, is required; behavioral health experience is required for RNs.
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-level behavioral health professional credential (e.g., LCSW, LMSW, LMFT, LMHC, or LPC), or RN license based on state contract requirements; behavioral health experience is required for RNs.
- Must live in one of the specified northwest Kansas counties: Cheyenne, Decatur, Ellis, Gove, Graham, Logan, Norton, Osborn, Phillips, Rawlins, Rooks, Russell, Sheridan, Sherman, Smith, Thomas, Trego, or Wallace.
- Ability to support a role requiring up to 75% local travel.
Responsibilities
- Evaluate member needs through phone or in-home visits, identify available resources, and recommend or facilitate care plans and services, including behavioral health and social-determinant needs.
- Conduct outreach through telephone, digital channels, home visits, 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 with members, families or caregivers, community resources, and care provider teams to ensure identified services are accessible.
- Monitor care plans, member status, and outcomes for changes in treatment side effects, complications, and clinical symptoms; recommend care plan changes based on identified needs.
- Facilitate care coordination and collaborate with providers or specialists to ensure timely access to needed care and services.
- Collect, document, and maintain member information and care management activities in compliance with state, federal, and third-party payer regulations.
- Educate members and families about procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, including behavioral health and social-determinant needs.
- Provide leadership with feedback on opportunities to improve care and quality delivery in a cost-effective manner.
- Perform other duties as assigned and comply with all policies and standards.
Benefits
- $5,000 sign-on bonus
- Competitive pay
- Health insurance
- 401(k)
- Stock purchase plans
- Tuition reimbursement
- Paid time off and holidays
- Flexible approach to work schedules, including remote, hybrid, field, or office work
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
