Care Manager, Behavioral Health

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

📋 Description

• Design, evaluate, and implement complex care management initiatives primarily focused on mental and behavioral health requirements.

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

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

• Create continuous care plans for high-acuity members and identify relevant providers, specialists, and community resources.

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

• Oversee care plans, monitor member status, treatment side effects, complications, and clinical symptoms.

• Facilitate care coordination and work collaboratively with providers and specialists to ensure timely access to healthcare services.

• Collect, document, and maintain member information and care management activities to comply with regulatory standards.

• Educate members and families about procedures, provider instructions, treatment options, referrals, and healthcare benefits.

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

• Adhere to all policies and standards while performing additional duties 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 in accordance with state contract requirements.

• Experience in behavioral health is mandatory.

• 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 required.

• An active New Jersey license is necessary.

• Candidates must reside in Essex or Union County or in a neighboring bordering county.

• Availability is required from Monday to Friday, 9:00 AM to 5:00 PM.

• Up to 50% local travel may be necessary.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off along with holidays.

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

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