LTSS Service Care Manager – Behavioral Health

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

📋 Description

• Develop, evaluate, and manage comprehensive care activities for individuals with substantial mental and behavioral health challenges.

• Assess the service needs of members 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 healthcare instructions.

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

• Serve as a liaison and advocate for members between families, healthcare providers, and facilities or agencies.

• Assist members facing issues such as depression, bipolar disorder, schizophrenia, borderline personality disorder, PTSD, substance use disorder, self-injurious behavior, and psychiatric inpatient care.

• Conduct regular home and other site visits to evaluate needs and collaborate with available resources.

• Offer specialized knowledge and operational support for behavioral health initiatives, crisis interventions, mental health first aid, field safety, de-escalation techniques, and medication oversight.

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

• Manage service authorizations for various services, including meals, employment, housing, foster care, transportation, and daily living activities.

• Facilitate referrals and assist in identifying accessible providers, specialists, and community resources.

• Ensure accurate documentation within the electronic care management system and uphold compliance with clinical and regulatory standards.

• Provide leadership feedback aimed at enhancing quality of care and service delivery.

• Carry out additional duties as assigned while adhering to relevant policies and standards.

⛳️ Requirements

• A Master's degree in Mental Health or Social Work, or graduation from a recognized nursing program.

• 2–4 years of relevant experience.

• Must be a Licensed Behavioral Health Professional or RN as per state contract stipulations, including LCSW, LMFT, LMHC, LPC, or RN with behavioral health experience.

• For the Sunflower plan: must hold LMSW, LCSW, LMFT, LMHC, LPC, or RN with behavioral health experience.

• Regular home and/or site visits required, at least once a month.

• For the Arkansas Total Care plan: must have a driver's license, complete a child and adult maltreatment check prior to hiring and on a recurring basis, pass a drug screening at hiring and periodically, reside in Arkansas or a border city, and be willing to travel 5% of the time.

• Must comply with clinical, state, federal, and company policies and standards.

🏝️ Benefits

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off.

• Paid holidays.

• Flexible options for remote, hybrid, field, or office work schedules.

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