Care Manager

Position Summary: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.

Background & Context:

• This is a new line of business from the state managing Medicaid Seriously Mentally Ill (SMI) members from ages 6-64 years of age.
• Members require at least 1 phone call monthly, 1 visit every 90 days, and an annual assessment.
• Case managers are allowed a caseload of no more than 60 members due to the intensive nature of the members.
• Purpose of plan to assure members are receiving all medications, attending all MD/mental health clinic appointments, have adequate housing and transportation to attend all appointments.
• This project has a go-live date of 7/1/25.
• Since there is a cap on the amount of cases a CM can have, we anticipate ongoing hiring needs.
  
  Key Responsibilities:
• CM will make calls, visits, and coordinate care for members.
• Our work is driven by metrics from the state that all are time-driven.
  
  Qualification & Experience: