J01006 Care Manager

Title - Care Manager (Behavioral Health)

Duration - 6 months

Shift - Mon Fri 8am 5pm PST No OT

Location - Remote

Pay Range: $40 - $45/hourly

Day to Day

• 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 which may include behavioral health and social determinant needs
• May perform telephonic/digital 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 including mental health and substance use disorders
• Coordinates as appropriate between the member and/or family/caregivers community resources and the care provider team to ensure identified services are accessible to members
• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
• Collects documents and maintains member information and care management activities to ensure compliance with current state federal and third-party payer regulators
• Provides education to members and their families on procedures healthcare provider instructions treatment options referrals and healthcare benefits which may include behavioral health and social determinant needs
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Performs other duties as assigned.
• Complies with all policies and standards.
• Connecting members who have troubles navigating the healthcare system. Working with homeless addiction.
• This role supports members during one of the highest risk transition periods (reentry into the community) where strong coordination can directly influence stability engagement in care and long term outcomes. This sense of purpose stays strong over time because the work consistently matters.

Education/Certification Required:

• Masters degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 4 years of related experience.

Licensure Required:

• Licensed Masters Behavioral Health Professional (e.g. LCSW LMSW LMFT LMHC LPC) or RN based on state contract requirements with BH experience required

Years of experience required:

• 2-4 years of related experience working directly with patients/members. Experience in providing resources for food housing transportation.

• Preferred: substance abuse background within healthcare

Top 3 skills

• Adaptability and flexibility; able to switch gears quickly in this fast-paced environment
• Problem solving and decision making
• Experience with technology