Clinical Care Manager

🕒 il y a 2 jours

🇺🇸 États-Unis – Télétravail

💵 $69 000 - $75 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 0%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Lucet

Lucet

501 - 1000 employés

🏥 Santé

⚕️ Assurance santé

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Lucet est une entreprise de santé comportementale axée sur la technologie qui combine des équipes de soins humains et des outils numériques pour connecter les individus à des soins de santé mentale et de traitement des addictions en temps opportun et au sein du réseau. Elle collabore avec des régimes de santé, des employeurs, des prestataires et des membres via des portails (employeur/RH, membre, prestataire, partenaire) et des services tels que PAE, navigation des soins et ressources pour les prestataires afin d'optimiser l'accès, la qualité et la valeur des soins de santé comportementale axés sur la valeur.

Description

• Coordinate and oversee behavioral health services • Conduct holistic assessments and identify barriers • Develop and adjust individualized care plans • Coordinate behavioral health services, care transitions, crisis prevention plans, and aftercare • Partner with members, providers, and health plan medical management teams • Build trusting relationships 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 • Apply medical necessity criteria, regulatory requirements, accreditation standards, and internal policies • Participate in audits, quality improvement initiatives, case presentations, and professional development

🎯 Exigences

• 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 • High-speed cable or fiber-optic internet installed before starting, with minimum 20 Mbps download, 5 Mbps upload, and maximum 100 ms latency • Ability to work from a fixed, designated workspace at home • Hardwired internet connection • Ability to sit for extended periods and use wired headsets and desktop equipment • Quiet workspace with minimal background noise for calls

🏖️ Avantages

• 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) • Opportunity for meaningful personal and professional growth • Company-provided equipment

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