LTSS Service Care Manager - Behavioral Health
Core
Develops, assesses, and coordinates holistic care management for populations with significant mental/behavioral health needs to enable quality, cost-effective healthcare outcomes.
Role type
Senior IC behavioral health care manager
Builds
Care plans and service plans for high-risk members with mental/behavioral health needs
Domain
Healthcare + Behavioral Health
Required skills
Care plan development, member advocacy, home/site visits, crisis intervention, community resource coordination, clinical documentation, medication monitoring, provider referral management
Preferred skills
Case management in child welfare/foster care, high-volume caseload management, field-based experience, managed care environment experience, bilingual English/Spanish
Technologies
TruCare, Microsoft Office Suite (Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote)
Responsibilities
Evaluate needs of complex/high-risk members and recommend plans of care; act as liaison between members, families, physicians, and facilities; perform frequent home/site visits to assess needs and collaborate with resources; provide education to members and families on preventive care, treatment options, and benefits; coordinate community resources and service authorization; ensure appropriate referrals and provider identification; maintain accurate documentation in electronic care management systems; provide feedback to leadership on quality of care improvements.
Seniority
Mid-level, hands-on IC