Match score not available

Manager, Care Management

Remote: 
Full Remote
Salary: 
80 - 88K yearly
Experience: 
Senior (5-10 years)
Work from: 

Offer summary

Qualifications:

Current unrestricted license for clinical practice, 5+ years in direct clinical care, Experience in Case Management or Disease Management, Strong leadership and team management skills.

Key responsabilities:

  • Provide strategic leadership to Care Management team
  • Ensure compliance with policies and performance measures
Lucet (formerly New Directions + Tridiuum) logo
Lucet (formerly New Directions + Tridiuum) SME http://lucethealth.com/
501 - 1000 Employees
See more Lucet (formerly New Directions + Tridiuum) offers

Job description

Who We Are

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body.

When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives.

Why join our team at Lucet?

We are a team of collaborative and hard-working professionals working to improve behavioral health outcomes working in a fast-paced and changing environment. At Lucet, no two days are the same. If you find joy in meaningful work and delivering excellent results, we encourage you to apply!

Benefits

We are looking for top-tier skills and experience in our remote-work environment and that’s because we offer top-tier compensation and benefits, which include:

  • Annual compensation between $80,000 - $88,000, PLUS an annual performance-based, discretionary incentive. Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
  • Full Health Benefits – Medical, Dental, and Vision
  • 401(k) with competitive employer match
  • Company paid life and disability insurance, wellbeing incentives, and parental leave
  • Professional development opportunities and tuition reimbursement
  • Paid time off including paid time off for volunteering
  • Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.

What You Will Do - Essential Functions

The Manager, Care Management provides strategic leadership, oversight, and direction to the Care Management team and supports quality improvement activities. This role is responsible for achieving key outcome measures for the care management program, ensuring compliance with Lucet policies, regulatory and accreditation standards, and meeting contractual performance guarantees. This role collaborates with internal departments and external stakeholders to deliver high-quality, efficient services and contributes to the development and implementation of programs, policies, and systems to enhance care management processes.

The Manager directly supervises clinical team members, coordinates efforts across multiple teams, and ensures performance is effectively tracked and reported. On-call evening, weekend, and holiday supervision for after-hours staff may be required as needed.Utilize the components of the case management process including elements of comprehensive assessment, identification of targeted barriers to improvement, linking to needed professional and community resources, development of care plan, implementation of care plan, documentation of outcomes, iterative care plan review and adjustment based on outcomes, health stabilization, and patient graduation

  • Leadership - Lead the Case Management team, clearly communicating initiatives and motivating adoption of changes to enhance clinical outcomes and the value for customers.
  • Clinical Supervision and Performance Management - Provide clinical and administrative supervision to CM team to support post-discharge stabilization and movement towards member self-management.
  • Clinical and Program Expertise - Provide case consultation for complex situations, demonstrating clinical expertise in areas ranging from crisis intervention to routine matters.
  • Collaboration and Integration - Foster coordination with health plan medical management and medical service providers, including primary care physicians and patient-centered medical homes.\
  • Quality Improvement and Compliance - Assist with the development and implementation of new software, programs, policies, and procedures to enhance care management services.

Who You Are

  • Required Qualifications
    • Current, unrestricted license issued by a state or territory of the United States to practice independently as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse in the state in which the business operation is located and/or other states as required by law, regulation or contract. For Registered Nurses, a Bachelor’s Degree in Nursing is required.
    • 5+ years post-licensure experience in direct clinical care with patients in facility-based and/or outpatient psychiatric or chemical dependence treatment
    • Previous experience in Case Management or Disease Management
    • Strong leadership and team management skills with experience in performance management.
    • Proficiency in care management tools and models, including case review and audit processes.
    • Knowledge & ability to apply case management principles and concepts to their case management practice
    • Extensive clinical knowledge base
    • Knowledge of regulatory and accreditation standards for case management.
    • Excellent communication, collaboration, and problem-solving abilities.
    • Ability to comprehend medical policy and criteria and clearly articulate health information
    • Experience and training in Motivational Interviewing or Health Coaching
    • Strong computer and keyboarding skills (Microsoft Outlook and Word), including the ability to document while simultaneously while taking information over the phone
    • Ability to obtain certification in Case Management (CCM) within 3 years of hire
    • Ability to travel 10-30%
  • Someone who embodies our values by:
    • Serving everyone with compassion and leading with empathy.
    • Stepping up and creating value by taking charge and acting when there is an opportunity.
    • Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
    • Nurturing growth and belonging by respecting and celebrating everyone for who they are.
  • Competencies
    • Self-motivated and ability to lead team to achieve Lucet goals
    • Ability to engage a wide variety of individuals, and excellent organizational skills
    • Passion for improving lives through behavioral change and wellness
    • Proven interest in professional development through specialization, certification, and/or advanced degree
    • Maintains curiosity and an eagerness to explore new knowledge and try new ideas and approaches to case management
    • Demonstrates consistency in professional demeanor in response to all situations regardless of the nature or circumstances of the situation
    • Ability to manage multiple tasks in a fast-paced, changing environment
    • Ability to assume a lead role in ensuring that all objectives are met
    • Ability to work within a collaborative, team-oriented environment
    • Working Conditions:
    • Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
    • A quiet workspace with minimal background noise for calls.
    • High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting).

    No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

    This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.

    Required profile

    Experience

    Level of experience: Senior (5-10 years)
    Industry :
    Spoken language(s):
    English
    Check out the description to know which languages are mandatory.

    Other Skills

    • Self-Motivation
    • Adaptability
    • Multitasking
    • Teamwork
    • Organizational Skills
    • Curiosity

    Related jobs