Case Manager

Internal Title: Lead Care Manager

We're seeking an exceptional Lead Care Manager (LCM) to join our team. Under the direction of the Director of Enhanced Care Management, ECM Clinical Manager and/or ECM Program Manager, the LCM serves as the client’s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client’s needs and care. The LCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The LCM collaborates and communicates with client’s caregivers/family support persons, other providers and others in the Care Team in order to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit.

This is a critical role that we're looking to fill as soon as possible.

At this time we are only considering applicants in the following states: Arizona, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, Utah and Washington.

Remote care management duties as described below:

Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports

Oversees the development of the client care plans and goal settings

Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services

Connect clients to other social services and supports that are needed

Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)

Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles