About this role

Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members
Evaluates the needs of the member via phone or in-home visits related to the resources available
Develops ongoing care plans for members with high level acuity
Facilitates care coordination and collaborates with appropriate providers or specialists
Monitors care plans/service plans and/or member status and outcomes for changes
Collects, documents, and maintains member information and care management activities
Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members

Requires a 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 BH experience required

Care Manager

Key skills