Care Manager

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

📋 Description

• Perform comprehensive assessments, identify challenges, create personalized care plans, and modify interventions to facilitate recovery and self-management throughout the care continuum.

• Coordinate behavioral health services, manage care transitions, implement crisis prevention strategies, and arrange aftercare with members, providers, and health plan medical management teams.

• Establish trusting, collaborative connections with members and providers through motivational interviewing, education, and continuous communication.

• Act as the primary point of contact for members, promoting information sharing, discharge planning, and linking to behavioral health, community, and support resources.

• Guarantee precise and timely documentation and service authorization in line with medical necessity criteria, regulatory standards, accreditation requirements, and internal policies.

• Engage in audits, quality improvement projects, case presentations, and continuous professional development.

• Foster high-quality care delivery, optimal resource utilization, member engagement, continuity of care, and recovery.

⛳️ Requirements

• Must hold a current, unrestricted state license to practice independently as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist, or Registered Nurse in the relevant state(s).

• Possess 3–5 years of direct clinical experience in facility-based or outpatient behavioral health or substance use treatment environments.

• Demonstrate strong clinical judgment and case management capabilities.

• Ability to assist members through intricate care transitions.

• Excellent verbal and written communication abilities, characterized by empathy and clarity.

• Proficient in Microsoft Outlook and Word.

• Capable of documenting in real-time while interacting with members.

• Skilled in interpreting and applying medical policies and clinical criteria.

• Must pass background checks upon hiring and throughout employment, including criminal, identity, education, employment, sanctions, watchlist, sex offender registry, and drug screening checks.

• Self-driven and responsible for achieving objectives.

• Ability to work independently to fulfill caseload demands and team goals.

• Professional development through specialization, certification, and/or advanced degrees is encouraged.

• High-speed cable or fiber-optic internet must be installed prior to starting, with a minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds.

• Must frequently operate computer and phone systems.

• Capacity to remain stationary and seated for prolonged periods, communicate, review information, perform repetitive motions, interpret data, problem-solve, make decisions, organize, plan, and maintain a positive professional demeanor.

• A quiet home workspace with minimal background noise is required.

• A fixed, designated workspace within the home is necessary.

• A hardwired internet connection is mandatory, along with the ability to utilize company-issued wired headsets and desktop equipment.

🏝️ Benefits

• Annual performance-based discretionary incentive.

• Coverage for medical, dental, and vision.

• 401(k) plan with competitive employer matching.

• Company-sponsored life and disability insurance.

• Paid parental leave and wellbeing incentives.

• Generous paid time off, including time for volunteer activities.

• Flexible spending accounts for healthcare and dependent care.

• Opportunities for professional development and tuition reimbursement.

• Flexibility for remote work (depending on the role).

• Chance for significant personal and professional growth.

• Equipment provided by the company.