Care Manager I

Case Manager

Typical Visit range 0-3 per week, but will vary based on member need. Estimated Length of Assignment: 03+ months with possible extension. Negotiable Estd. Pay Range - $40/hr - $41.28/hr. Work Type: Hybrid (Las Cruces or Albuquerque). Schedule Monday - Friday 8:00-5:00 MST.

Job Summary:

• Reaching out to members identified for transitional support.
• Scheduling appointments with members' behavioral health treatment providers or Care Connections.
• Utilizing existing care management programs to provide ongoing member support.
• Documenting all member interactions, ensuring compliance with the job aide to contribute to HEDIS goals.
• Communicating with local leadership regarding any questions or concerns about the procedures.

Skills/Abilities:

• Active, unrestricted behavioral health clinical license in the state of practice (LCSW/LISW, LPC/LPCC/LMHC, LMFT, CADC, SUDP, or state equivalent)
• National Provider Identifier (NPI) required
• Minimum of 3 years of experience in behavioral health, substance use disorder treatment, care management, or a related clinical setting
• Demonstrated behavioral health care management experience, including transitional support following hospitalizations or emergency department visits
• Strong working knowledge of behavioral health quality and HEDIS measures, including FUH, FUM, FUI, and IET
• Proven ability to conduct telephonic and/or face-to-face outreach with members to support follow-up care
• Experience scheduling and coordinating appointments with behavioral health providers or internal care teams
• Ability to utilize established care management programs to provide ongoing member support
• Excellent clinical documentation skills, with the ability to accurately document member interactions in accordance with job aides and compliance requirements
• Strong communication and collaboration skills, including the ability to work with leadership and interdisciplinary teams
• Demonstrated ability to handle and protect PHI in compliance with healthcare privacy and security standards
• Experience working within secured healthcare systems and accessing clinical platforms remotely
• Ability to work full-time (40 hours/week) during MST business hours (8:00 a.m. 5:00 p.m.)
• Comfortable working remotely using personal or agency-provided equipment to access virtual desktop environments

Required Experience: 1-3 years experience

Required Licensure: The care management personnel must hold one of the licenses (or relevant state equivalent) below to participate in the initiative:

• Clinical Social Workers (ex. LCSW, LISCW)
• Professional Counselors/Licensed Mental Health Counselors (ex. LPC/LPCC, LMHC)
• Marriage and Family Therapists (LMFT)
• Certified Alcohol and Drug Counselor (CADC); Substance Use Disorder Professional (SUDP)