Care Manager, Behavioral Health

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

📋 Description

• Design, evaluate, and oversee intricate care management initiatives primarily focused on mental and behavioral health needs.

• Assess member requirements through phone consultations or in-home visits and suggest or facilitate care plans accordingly.

• Engage in outreach through telephonic, digital, home, and various site visits.

• Create ongoing care plans for members with high acuity levels.

• Identify healthcare providers, specialists, and community resources for mental health and substance use disorders.

• Coordinate efforts among members, their families or caregivers, community resources, and care provider teams.

• Monitor care plans, track member status, treatment side effects, complications, and clinical symptoms.

• Facilitate care coordination and ensure timely access to necessary care and services.

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

• Provide education to members and families regarding procedures, treatment options, referrals, provider instructions, and healthcare benefits.

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

• Perform additional duties as assigned.

⛳️ Requirements

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

• 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 stipulations, with required behavioral health experience.

• For NJ Health Plan: Master's degree in Behavioral Health or Social Work along with Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) is mandatory.

• An active New Jersey license is required.

• Must reside in Essex or Morris County, or in a neighboring county.

• Monday–Friday, 9:00 AM–5:00 PM work schedule.

• Up to 50% local travel may be necessary.

• Adherence to all policies and standards is essential.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans available.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work arrangements with options for remote, hybrid, field, or office schedules.

• Additional incentives may be included in the overall compensation package.