Care Manager

This is a fully remote position, open to applicants in Washington.

📋 Description

• Design, evaluate, and manage intricate care management initiatives primarily focused on members with mental and behavioral health requirements.

• Develop individualized care plans and provide education to members and their families regarding mental health and substance use disorders.

• Assess member needs through phone or in-home consultations and recommend or facilitate care/service plans.

• Execute outreach through telephonic, digital, home, and other site visits.

• Formulate ongoing care strategies for high-acuity members and identify necessary providers, specialists, and community resources.

• Coordinate services among members, families/caregivers, community resources, and care provider teams.

• Supervise care plans, member status, treatment side effects, complications, clinical symptoms, and outcomes.

• Facilitate care coordination and collaborate with providers and specialists to guarantee timely access to care.

• Gather, document, and maintain member information and care management activities to ensure regulatory compliance.

• Educate on procedures, provider instructions, treatment options, referrals, and healthcare benefits.

• Offer leadership insights on opportunities to enhance care quality and cost-effectiveness.

• Adhere to all policies and standards.

• Execute other responsibilities as assigned.

⛳️ Requirements

• Master's degree in Behavioral Health or Social Work OR a degree from an accredited nursing school.

• 2–4 years of relevant experience.

• Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN as per state contract requirements.

• Experience in behavioral health is mandatory for RN candidates.

• Active licensure in Washington state and/or Compact RN licensure.

• Pediatric experience is highly preferred.

• Work hours are Monday–Friday, 8:00 am–5:00 pm PST.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement programs.

• Paid time off along with holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentive opportunities may be included in the overall compensation package.

• Equal opportunity employer dedicated to fostering diversity.