Care Manager

Position Title: Care Manager

Work Location: Remote - WA

Assignment Duration: 6 months

Work Schedule:

Training Mon-Fri 8am - 5pm PST - 6 weeks - classroom setting - CAMERAS ON - NO TIME OFF DURING TRAINING

Mon - Fri 8am - 5pm PST - No OT - No holidays

Work Arrangement: Remote

Position Summary:

The Reentry Care Manager (RCM) provides Reentry Targeted Case Management (rTCM) services to justice involved members before and after release from incarceration.

This role focuses on whole person, member centered care, ensuring continuity of medical, behavioral health, substance use disorder (SUD), and health related social needs (HRSN) services to support a safe and successful transition back into the community.

The Reentry Care Manager develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.

Key Responsibilities:

• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
• May perform telephonic/digital outreach to assess member needs and collaborate with resources
• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Performs other duties as assigned.
• Complies with all policies and standards.
• Connecting members who have troubles navigating the healthcare system.
• Working with homeless, addiction.
  Education/Certification
  
  Required: Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience.
  Preferred:
  Licensure
  
  Required: Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required
  
  Preferred: Licensed BH will be my 1st pick but if not, RN will suffice. Reason: We are lacking BH staff for our program.
  Years of experience required: 2-4 years of related experience working directly with patients/members. Experience in providing resources for food, housing, transportation.
  Preferred: substance abuse background within healthcare
  Disqualifiers: Someone who can't work in fast pace environment
  Additional qualities to look for:
  
  • Communication and Interpersonal Skills
  • Active listening
  • Organizational and Time Management
  • Problem-Solving and Decision-Making
  • Empathy and Compassion
  • Experienced with technology
  • Adaptability and flexibility
  • Cultural competence
  • Knowledge of resources
  
  
  
  • Top 3 must-have hard skills stack-ranked by importance
  
  
  
  
  
  1
  Adaptability and flexibility; able to switch gears quickly in this fast-paced environment
  2
  Problem solving and decision making
  3
  Experience with technology