LTSS Service Care Manager – Behavioral Health

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

📋 Description

• Design, evaluate, and manage comprehensive care management initiatives for individuals with significant mental and behavioral health challenges.

• Assess member service requirements and create or contribute to care and service plans.

• Provide education to members, families, and caregivers regarding available services, benefits, preventive care, treatment options, referrals, medications, and instructions from healthcare providers.

• Assess complex and high-risk members and propose appropriate care plans.

• Act as a liaison and advocate for members between families, physicians, and various facilities/agencies.

• Assist members dealing with mental and behavioral health issues, including depression, bipolar disorder, schizophrenia, borderline personality disorder, PTSD, substance use disorder, self-injurious behavior, and psychiatric inpatient admissions.

• Conduct regular home and site visits, at least once a month, to evaluate needs and engage with resources.

• Offer subject matter expertise and operational support for behavioral health initiatives, including crisis intervention calls, mental health first aid training, field safety, de-escalation techniques, and medication monitoring.

• Educate on and coordinate access to medical, behavioral, and social community resources.

• Manage service authorizations for offerings such as meals, employment, housing, foster care, transportation, and daily living activities.

• Facilitate referrals and identify relevant providers, specialists, and community resources.

• Ensure precise documentation in the electronic care management system.

• Uphold adherence to clinical, state, and federal regulations.

• Provide leadership insights to enhance the quality of care and cost-effective service delivery.

• Execute other assigned responsibilities.

⛳️ Requirements

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

• 2–4 years of relevant experience.

• Licensed Behavioral Health Professional or RN in accordance with state contract requirements, such as LCSW, LMFT, LMHC, LPC, or RN with experience in behavioral health.

• For the Sunflower plan: Licensed Behavioral Health Professional or RN meeting state contract standards, including LMSW, LCSW, LMFT, LMHC, LPC, or RN with behavioral health experience.

• For the Arkansas Total Care plan: must possess a driver's license, undergo child and adult maltreatment checks prior to hiring and periodically thereafter, and complete drug screenings at hiring and regularly thereafter.

• For the Arkansas Total Care plan: must reside in Arkansas or a neighboring city.

• Willingness to travel 5% for the Arkansas Total Care plan.

• Adherence to all policies, standards, clinical guidelines, and current state and federal regulations.

🏝️ Benefits

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off.

• Paid holidays.

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

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