Care Manager (BH)
Core
Develops, assesses, and facilitates complex care management activities for members with mental and behavioral health needs, including substance use disorders, to provide high-quality, cost-effective healthcare outcomes.
Role type
Senior IC Care Manager (Behavioral Health)
Builds
Personalized care plans and service plans for members with high acuity
Domain
Healthcare + Behavioral Health
Required skills
Care plan development, resource coordination, telephonic outreach, home visits, clinical monitoring, provider collaboration, regulatory compliance, member education
Preferred skills
N/A
Technologies
N/A
Responsibilities
Evaluate member needs via phone or in-home visits and recommend care plans; Develop ongoing care plans for members with high level acuity; Coordinate between members, families, and community resources; Monitor care plans and member status for changes in treatment side effects or clinical symptoms; Facilitate care coordination with providers to ensure timely access to services; Collect, document, and maintain member information to ensure regulatory compliance; Provide education to members and families on treatment options and healthcare benefits.
Seniority
Mid-level, hands-on IC