Position Title: Care Manager
Work Location: Sedgwick County, KS (remote with travel within Sedgwick and surrounding counties)
Assignment Duration: 3 months Contract to Hire
Work Schedule: 8 am-5 pm-with some flexibility based on member need
Work Arrangement: Remote with up to 50% travel meeting with members in their home and providers

Position Summary:
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.

Background & Context:

• Additional staff needed due to business fluctuation.

• Complies with all policies and standards.

• Standard remote setup with structured team engagement (bi?weekly huddles, team meetings and chats).

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, home and/or other site visits 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.

Qualification & Experience:

• Required: Master Social Worker or RN (Master's degree in Behavioral Health or Social Work or Degree from an Accredited School of Nursing) and 2–4?years of related experience

• Preferred: PhD

• Required Licensure: Licensed Master Social Worker (Licensed Master's Behavioral Health Professional [e.g., LCSW, LMSW, LMFT, LMHC, LPC] or RN based on state contract requirements with BH experience required)

• Must haves: Experience working with Foster Care Youth, Child Welfare, Mental Health

• Must have good driving record due to member visits

• Nice to haves: experience in BH, trauma informed care, experience with working with individuals with mental illness

 

 


At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $39.00/hr.