Care Manager, Behavioral Health

This is a fully remote position, open to applicants in Illinois, +4 more states.

📋 Description

• Evaluate and assess the behavioral health needs and requirements of Medicaid members.

• Conduct assessments both in-person and via phone.

• Act as the main contact point and facilitate integrated care coordination.

• Implement evidence-based behavioral health services, personalized care coordination, crisis intervention, and peer support.

• Assist members dealing with Serious Mental Illness (SMI), Serious Emotional Disturbance (SED), Substance Use Disorder (SUD), and those involved with the justice system.

• Involve members in their communities through face-to-face visits.

• Complete necessary assessments, including the Comprehensive Risk Assessment (HRA).

• Coordinate both behavioral health and medical services, ensuring provider engagement and adherence to treatment plans.

• Enhance health literacy and address social determinants of health.

• Function as the member's interdisciplinary care team, managing care planning, transitions, and service delivery.

• Organize interdisciplinary care team meetings and facilitate communication among providers, Service Coordinators, and Care Management Extenders.

• Assist with transitions of care.

• Conduct biannual and quarterly in-person visits.

• Work independently while seeking support as necessary.

• Collaborate with internal teams, providers, and community organizations.

• Adhere to processes and protocols to comply with IDHS, CMS, and NCQA standards.

• Travel up to 25% for collaboration, in-person meetings, and field engagements.

• Perform other assigned responsibilities.

⛳️ Requirements

• Must hold an active Illinois license as an LCSW, LMFT, or LCPC; provisional licenses are not acceptable.

• Residency in Illinois or a bordering state is required.

• A minimum of 2 years of post-degree clinical experience in a behavioral health environment.

• Experience in case management with complex SMI, SUD, and SED populations is necessary.

• Capability to travel to region-based facilities and residences for in-person assessments.

• TB screening is required if selected for the position.

• A valid state driver's license is mandatory.

• Proof of personal vehicle liability insurance with limits of at least 100,000/300,000/100,000 is required.

• Case Management Certification (CCM) is preferred.

• Over 3 years of experience in care coordination, including in-home assessments, is preferred.

• Experience with Medicaid populations is desirable.

• Preferred experience in field case management.

• Knowledge of community health and social service agencies, as well as additional community resources, is preferred.

• Previous experience in managed care is a plus.

• Bilingual candidates are preferred.

• Minimum home internet speeds of 25 Mbps download and 10 Mbps upload are required.

• Must work from a designated space free from ongoing interruptions to protect member PHI/HIPAA information.

🏝️ Benefits

• Bonus incentive plan based on both company and individual performance.

• Medical, dental, and vision insurance coverage.

• 401(k) retirement savings plan.

• Paid time off for employees.

• Company holidays and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance benefits.

• Mileage reimbursement for travel related to work.

• Self-provided internet service for employees working from home or in a hybrid setting.

• A dedicated workspace for remote work.