Care Manager - Health Plan

Job Title: Care Manager - Health Plan

Location: Remote (CST hours)
Schedule: Monday Friday, 8:00 5:00 pm CST

Job Overview:
This position focuses on comprehensive care management, including assessment, care planning, and coordination of services for members with moderate to high behavioral health needs. The Care Manager will oversee the delivery of person-centered care plans, monitor outcomes, and collaborate with internal and external resources to ensure quality, cost-effective services.

Key Responsibilities:

• Conduct health risk and comprehensive needs assessments

• Develop and implement patient-centered care plans

• Coordinate services across multiple providers and community resources

• Provide telephone triage, crisis intervention, and prior authorizations

• Educate members, families, and providers on care strategies

• Oversee non-licensed care support teams

• Continuously monitor and adjust care plans to close gaps and improve outcomes

• Act as an advocate to address barriers to care

• Participate in interdisciplinary team meetings and process improvement initiatives

Required Qualifications:

• Active, valid license (e.g., LCSW, LMFT, LMSW, LPC, RN, or equivalent)

• 5+ years of experience in behavioral health care management or utilization management

• Proficient with Microsoft Office and typing skills

• Strong knowledge of clinical guidelines and behavioral health best practices

Preferred Skills:

• Knowledge of DSM and ASAM

• Experience working with Medicaid, Medicare, and Whole Health populations