Position Title: Care Manager
Assignment Duration: 3 Months (Possibility to extend or convert?)
Work Location: Region 3 (Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee and Union counties)
Work Arrangement: Remote
Work Schedule: Monday - Friday, 8 – 5

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.

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.
• Complies with all policies and standards.

Qualification & Experience:

• Requires a 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.
• Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required
• Employees supporting Florida’s Children’s Medical Services must Hold a Master’s degree in social work or related field and have one year of related professional pediatric care experience.
• Must reside in the state of Florida.
• Bilingual candidates highly preferred.

Education/Certification	Required: Social Work, Psychology, Mental Health, Counselor Education			Preferred: Social Work, Psychology, Mental Health, Counselor Education
Licensure	Required: LCSW or LMHC			Preferred: LCSW or LMHC
Years of experience required Disqualifiers Best vs. average Performance indicators		Must haves: At least 5 years’ experience working in the field with children and families and the system of care.  Excellent computer skills in Microsoft, able to learn and navigate various platforms.   Nice to haves: Qualified Supervisors; Clinical Supervisor experience, experience with DCF, DJJ, APD, DOH and /or a CBC or ME.   Disqualifiers: N/A   Performance indicators: able to multitask, manage high needs members, manage children and family members with mental health illness; provide excellent customer service; partner and work collaboratively with all providers/stakeholders.  Manage challenging cases with multiple barriers.   Best vs. average:
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	Excellent Clinical Documentation and able to present cases succinctly on various platforms/teams.
		2	Understanding and able to navigate the system of care/ connect with in-network providers and have an excellent understanding of the region/circuit processes for staffing members assigned to our plan.
		3	Excellent computer skills – able to utilize multiple systems/platforms

 
 
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: $ 35.00/hr.