Clinical Care Manager

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

📋 Description

• Oversee and coordinate behavioral health services

• Perform holistic assessments and identify challenges

• Create and modify personalized care plans

• Manage behavioral health services, care transitions, crisis prevention strategies, and aftercare

• Collaborate with members, providers, and health plan medical management teams

• Establish trusting relationships through motivational interviewing, education, and continuous communication

• Act as the primary point of contact for members

• Facilitate information sharing, discharge planning, and connections to behavioral health, community, and support resources

• Ensure timely and accurate documentation and service authorization

• Implement medical necessity criteria, regulatory requirements, accreditation standards, and internal policies

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

⛳️ Requirements

• Valid, 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)

• 3-5 years of hands-on clinical care experience in facility-based and/or outpatient behavioral health or substance use treatment environments

• Strong clinical judgment paired with effective case management abilities

• Capacity to assist members during complex care transitions

• Exceptional verbal and written communication skills

• Proficient in Microsoft Outlook and Word

• Ability to document in real-time while interacting with members

• Competence in interpreting and applying medical policies and clinical criteria

• Must pass background checks upon hiring and throughout employment

• High-speed cable or fiber-optic internet connection set up before starting, with minimum 20 Mbps download, 5 Mbps upload, and maximum 100 ms latency

• Capability to work from a designated fixed workspace at home

• Hardwired internet connection required

• Ability to sit for prolonged periods and use wired headsets and desktop equipment

• A quiet workspace with minimal background noise for calls

🏝️ Benefits

• Annual performance-based discretionary incentive

• Comprehensive medical, dental, and vision coverage

• 401(k) plan with competitive employer matching

• Company-sponsored life and disability insurance

• Paid parental leave and wellness incentives

• Generous paid time off, including time for volunteering

• Flexible spending accounts for healthcare and dependent care

• Opportunities for professional development and tuition reimbursement

• Flexibility for remote work (dependent on role)

• Opportunities for substantial personal and professional growth

• Company-provided equipment