Clinical Care Manager

Lucet Care Manager ClinicianAt Lucet, we're transforming whole-person care. We deliver integrated behavioral and physical health solutions that connect individuals to the right care at the right time—improving outcomes and overall well-being. Serving over 15 million lives across the U.S. and Puerto Rico, our model combines clinical expertise, compassionate care, and innovative technology to support healthier, more fulfilling lives. As part of the Lucet team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in empathy, collaboration, and a shared passion for helping people thrive.The Care Manager Clinician coordinates and oversees behavioral health services to ensure members receive appropriate, high-quality care while promoting engagement, continuity, and recovery. Acting as a central point of contact, the role integrates care management, utilization management, and collaborative partnerships to optimize outcomes, support self-management, and ensure compliance with clinical, regulatory, and organizational standards.Comprehensive Care Management & Coordination: Conduct holistic assessments, identify barriers, develop individualized care plans, and adjust interventions to support recovery and self-management across the continuum of care. Coordinate behavioral health services, care transitions, crisis prevention plans, and aftercare by partnering with members, providers, and health plan medical management teams.Member & Provider Engagement for Improved Outcomes: Build trusting, collaborative relationships with members and providers using motivational interviewing, education, and ongoing communication to increase engagement and continuity of care. Serve as the single point of contact for members, facilitating information exchange, discharge planning, and connection to behavioral health, community, and support resources.Quality, Compliance & Clinical Excellence: Ensure accurate, timely documentation and service authorization in alignment with medical necessity criteria, regulatory requirements, accreditation standards, and internal policies. Participate in audits, quality improvement initiatives, case presentations, and ongoing professional development to support high-quality care delivery and optimal resource utilization.Required Qualifications: Current, unrestricted state license to independently practice as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse in the applicable state(s). 3-5 years of direct clinical care experience in facility-based and/or outpatient behavioral health or substance use treatment settings Strong clinical judgment and case management skills, with the ability to support members through complex care transitions. Excellent verbal and written communication skills, with a focus on empathy and clarity. Proficiency in Microsoft Outlook and Word, with the ability to document in real time while engaging with members. Ability to interpret and apply medical policy and clinical criteria. Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.Competencies: Self-motivated and the ability to assume a role in ensuring that all objectives are met Ability to work independently to meet case load requirements and team objectives/goals Proven interest in professional development through specialization, certification, and/or advanced degree Maintains curiosity and an eagerness to explore new knowledge and try new ideas and approaches to case management Professional demeanor in response to all situations regardless of the nature or circumstances of the situationWorking Conditions: High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required. Frequent use of computer and phone systems Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations. Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary. A quiet workspace with minimal background noise for calls. This role requires working from a fixed, designated workspace in your home and does not allow flexibility in work locations even within the home. A hardwired internet connection is required along with ability to sit for extended periods using company-issued wired headsets and desktop equipment