Care Manager

🕒 4 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $65.000 - $72.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 0%

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Logo of Lucet

Lucet

501 - 1000 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

A Lucet é uma empresa de saúde comportamental habilitada por tecnologia que combina equipes de assistência humana e ferramentas digitais para conectar indivíduos a cuidados de saúde mental e uso de substâncias, pontualmente e dentro da rede. Ela faz parcerias com planos de saúde, empregadores, prestadores e membros por meio de portais (empregador/RH, membro, prestador, parceiro) e serviços como EAP (Programa de Assistência ao Empregado), navegação de cuidados e recursos para prestadores, para otimizar o acesso, qualidade e atendimento de saúde comportamental orientado por valor.

Descrição

• Coordinate and oversee behavioral health services to ensure appropriate, high-quality care • Conduct holistic assessments and identify barriers to care • Develop and adjust individualized care plans to support recovery and self-management • Coordinate behavioral health services, care transitions, crisis prevention plans, and aftercare • Partner with members, providers, and health plan medical management teams • Build trusting relationships with members and providers using motivational interviewing, education, and ongoing communication • Serve as the single point of contact for members • Facilitate information exchange, discharge planning, and connections to behavioral health, community, and support resources • Ensure accurate and timely documentation and service authorization • Participate in audits, quality improvement initiatives, case presentations, and professional development • Support compliance with medical necessity criteria, regulatory requirements, accreditation standards, and internal policies

🎯 Requisitos

• 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 • Ability to support members through complex care transitions • Excellent verbal and written communication skills • Proficiency in Microsoft Outlook and Word • Ability to document in real time while engaging with members • Ability to interpret and apply medical policy and clinical criteria • Ability to pass background checks upon hire and throughout employment, including criminal, identity, education, employment, sanctions, watchlist, sex offender registry, and 10-panel drug screening • High-speed hardwired internet service with minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds • Ability to work independently to meet caseload requirements and team objectives • Interest in professional development through specialization, certification, and/or advanced degree • Quiet workspace with minimal background noise • Ability to work from a fixed, designated workspace in the home • Ability to sit for extended periods and use company-issued wired headsets and desktop equipment

🏖️ Benefícios

• Annual performance-based, discretionary incentive • Medical, dental, and vision coverage • 401(k) with competitive employer match • Company-paid life and disability insurance • Paid parental leave and wellbeing incentives • Generous paid time off, including volunteer time • Flexible spending accounts for healthcare and dependent care • Professional development opportunities and tuition reimbursement • Remote work flexibility (role-dependent) • Meaningful personal and professional growth opportunities • Company-provided equipment

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