Care Manager

7 days ago

Mirando City, Texas, United States Superior HealthPlan Full time
Job Title: LTSS Service Care Manager

Join our team of dedicated professionals at Superior HealthPlan and make a meaningful difference in the lives of our members. As a LTSS Service Care Manager, you will play a vital role in delivering high-quality, patient-centered care to individuals with complex mental and behavioral health needs.

Job Summary:

We are seeking a highly skilled and compassionate LTSS Service Care Manager to join our team. In this role, you will be responsible for developing and implementing holistic care management plans that address the unique needs of our members. Your expertise in behavioral health and case management will enable you to provide exceptional support and guidance to our members and their families.

Key Responsibilities:
  • Evaluate member service needs and develop or contribute to the development of care plans/service plans that meet their unique needs.
  • Act as a liaison and member advocate between the member/family, physician, and facilities/agencies to ensure seamless care coordination.
  • Support members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.
  • Perform frequent home and/or other site visits to assess member needs and collaborate with resources, as required.
  • Provide education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits.
  • Coordinate community resources, including medical, behavioral, and social services, to ensure members have access to the support they need.
  • Maintain accurate documentation and support the integrity of care management activities in the electronic care management system.
  • Comply with all policies and standards, including clinical guidelines and current state and federal guidelines.
Requirements:
  • Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience.
  • Licensed Behavioral Health Professional or RN with psychiatric experience based on state contract requirements, e.g., LCSW, LPC, and RN with BH experience is required.
  • Preferred experience in patient advocacy, coordinating community mental health and/or personal assistance or social services for members.
  • Strong clinical documentation skills and ability to utilize case management systems.
  • Proficient computer skills with Microsoft and Video Conferencing applications, e.g., Outlook, Word, Excel, ZOOM, MS Teams.
  • Ability to work independently with minimal supervision.
  • Bilingual – Spanish and English is a plus, but not required.
What We Offer:

At Superior HealthPlan, we offer a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

We are an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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