Care Manager

đŸ”„ 13 hours ago

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Lucet

501 - 1000 employees

⚕ Healthcare Insurance

☁ SaaS

đŸ€ B2B

Healthcare Insurance ‱ SaaS ‱ B2B

Lucet is a tech-enabled behavioral health company that combines human care teams and digital tools to connect individuals to timely, in-network mental health and substance-use care. It partners with health plans, employers, providers, and members through portals (employer/HR, member, provider, partner) and services such as EAP, care navigation, and provider resources to optimize access, quality, and value-driven behavioral healthcare.

📋 Description

‱ The Care Manager coordinates and oversees behavioral health services to ensure members receive appropriate, high-quality care while promoting engagement, continuity, and recovery. ‱ Acting as a central point of contact, the role integrates care management, utilization management, and collaborative partnerships to optimize outcomes, support self-management, and ensure compliance with clinical, regulatory, and organizational standards. ‱ Conduct holistic assessments, identify barriers, develop individualized care plans, and adjust interventions to support recovery and self-management across the continuum of care. ‱ Coordinate behavioral health services, care transitions, crisis prevention plans, and aftercare by partnering with members, providers, and health plan medical management teams. ‱ Build trusting, collaborative relationships with members and providers using motivational interviewing, education, and ongoing communication to increase engagement and continuity of care. ‱ Serve as the single point of contact for members, facilitating information exchange, discharge planning, and connection to behavioral health, community, and support resources. ‱ Ensure accurate, timely documentation and service authorization in alignment with medical necessity criteria, regulatory requirements, accreditation standards, and internal policies. ‱ Participate in audits, quality improvement initiatives, case presentations, and ongoing professional development to support high-quality care delivery and optimal resource utilization.

🎯 Requirements

‱ 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, with the ability to support members through complex care transitions. ‱ Excellent verbal and written communication skills, with a focus on empathy and clarity. ‱ Proficiency in Microsoft Outlook and Word, with the ability to document in real time while engaging with members. ‱ Ability to interpret and apply medical policy and clinical criteria. ‱ Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.

đŸ–ïž Benefits

‱ Comprehensive health benefit options: 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)

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