Complex Care Specialist

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

📋 Description

• Evaluate the clinical requirements of clients for higher levels of care.

• Offer immediate phone support to clients facing complex behavioral health challenges.

• Ensure the safety of clients and guide them into high-quality, evidence-based facilities and programs.

• Oversee a caseload of complex, multi-need clients through collaborative and long-term case management.

• Encourage client engagement across various care levels utilizing Motivational Interviewing and other techniques.

• Handle client crises through brief risk and needs assessments, safety planning, and de-escalation tactics.

• Respond to crisis support calls and provide brief, evidence-based coping strategies.

• Communicate with clients and service providers through email, phone, and occasionally text messages.

• Identify treatment alternatives using Lyra’s proprietary matching software, facility databases, health plan directories, and internet resources.

• Administer and monitor PHQ-9, GAD-7, and other symptom assessments.

• Create tailored care plans for clients.

• Present client cases during Multidisciplinary Team Meetings.

• Actively reach out to members who might benefit from additional support.

• Coordinate care with Preferred Facility Network providers, health plans, and navigators.

• Collaborate with billing and facility network teams regarding authorized referrals and treatment quality.

• Participate in an on-call rotation for a dedicated phone line.

• Conduct screenings for Lyra’s Dialectical Behavior Therapy (DBT) program.

• Offer leadership feedback for ongoing program enhancement.

⛳️ Requirements

• Master’s degree in clinical social work or a relevant field.

• LCSW or equivalent independent clinical licensure is mandatory (e.g., LMFT, LPC, LPCC, etc.).

• Candidates are required to have a state license to deliver mental health services independently; those without one will not be considered.

• Substantial experience in managing high-risk clinical scenarios, including suicidality and mandated reporting.

• Experience in navigating health plans and promoting client engagement with increasing mental health needs.

• Skilled in case management and providing specialized care for clients with diverse needs.

• Understanding of higher levels of care and community mental health resources.

• Capability to work autonomously in a remote setting and collaboratively within a small team.

• Familiarity with health plan procedures and medical necessity criteria.

• Must be a full-time resident of the United States; work cannot be performed from outside the country.

• Bilingual candidates who speak Spanish are strongly preferred, though not required.

• We are unable to provide supervised hours toward licensure.

🏝️ Benefits

• Comprehensive healthcare coverage, including medical, dental, vision, FSA/HSA, life, and disability insurance.

• Lyra for Lyrians; access to coaching and therapy services.

• Equity in the company through discretionary restricted stock units.

• Competitive paid time off policies, including vacation, sick days, and company holidays.

• Paid parental leave.

• 401K retirement benefits.

• Monthly technology allowance.

• Well-being perks and activities.

• Surprise swag.

• Regular community celebrations.