Position Title: Care Manager
Work Location: Toledo, OH
Assignment Duration: 6 months (potential extension)
Work Schedule: The daily schedule is 8-5pm. The schedule can be self-managed based on visit schedule.

Background & Context:

• The team is comprised of 10 care managers who have caseloads in long term care and assisted living facilities.
• Long-term care behavioral health members have specialized needs.

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.
 

Candidate Requirements
Education/Certification	Licensed professional			Preferred: Bachelors, CCM
Licensure	RN, LSW, MSW, LPC, LPCC.			Preferred:
Years of experience required Disqualifiers Best vs. average Performance indicators		Must haves: 2-4 years of Behavioral Health experience   Nice to haves: Master prepared, LTC experience   Disqualifiers: no licensure   Performance indicators: self starter, time management
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	Behavioral Health background
		2	Time management
		3	Organizational skills

 

 

 
 
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.