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Care Manager
Spectraforce
Columbia, South Carolina

3 hours ago

Job Description

Position Title: Care Manager
Work Location: Remote-SC, Columbia (2-3 hours from everything), but regionally, Charleston
Assignment Duration: 3 Months
Work Schedule: 8 hours daily
Work Arrangement: Remote

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.

Background & Context:

  • This is a new line of business from the state managing Medicaid Seriously Mentally Ill (SMI) members from ages 6-64 years of age.
  • Members require at least 1 phone call monthly, 1 visit every 90 days, and an annual assessment.
  • Case managers are allowed a caseload of no more than 60 members due to the intensive nature of the members.
  • Purpose of plan to assure members are receiving all medications, attending all MD/mental health clinic appointments, have adequate housing, and transportation to attend all appointments.
  • This project has a go-live date of 7/1/25.
  • Since there is a cap on the amount of cases a CM can have, we anticipate ongoing hiring needs.

    Key Responsibilities:
  • Make calls, visits, and coordinate care for members.
  • Work is driven by metrics from the state that all are time-driven.
  • Document within 24 hours unless on Friday.

    Qualification & Experience:
  • Required: Bachelor’s Degree.
  • Preferred: Bachelor’s does not have to be in nursing.
  • Required: RN or LMSW.
  • Must haves: Bachelor’s degree in health-related field, LMSW.
  • Nice to haves: A background in Behavioral Health (BH) is helpful.
  • Disqualifiers: Doesn’t want to travel.
  • Performance indicators: Able to meet strict deadlines related to documentation/visits/calls, documented within 24 hours unless on Friday, HMs get report to note who’s out of compliance, must be able to adapt to change


Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 


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: $40.71/hr.

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