Care Management Specialist

5 days ago


Kansas City, Missouri, United States Home State Health Plan Full time

At Home State Health Plan, we are transforming the health of our communities, one person at a time.

We are seeking a highly skilled Care Management Specialist to join our team.

About the Role

This is an exciting opportunity to make a meaningful difference in the lives of our members.

  • You will be responsible for developing, assessing, and facilitating complex care management activities to provide high-quality, cost-effective healthcare outcomes.

Your expertise will be crucial in evaluating member needs, recommending care plans, and coordinating with healthcare providers and community resources.

Key Responsibilities
  • Evaluate member needs through phone or in-home visits and recommend care plans that address mental and behavioral health needs.
  • Develop ongoing care plans for members with high-level acuity and identify necessary providers, specialists, and community resources.
  • Coordinate between members, families, caregivers, community resources, and care provider teams to ensure accessible services.
  • Monitor care plans and member status, providing recommendations for changes in treatment, side effects, complications, and clinical symptoms.
  • Facilitate care coordination and collaborate with healthcare providers to ensure timely access to needed care or services.
  • Collect, document, and maintain member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
  • Provide education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits.
  • Offer feedback to leadership on opportunities to improve and enhance care delivery for members in a cost-effective manner.
Requirements

To succeed in this role, you will require:

  • A Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing.
  • 2 – 4 years of related experience in behavioral health or social work.
  • Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LCSW, LMSW, LMFT, LMHC, LPC).
What We Offer

We offer a comprehensive benefits package, including:

  • Competitive salary: $54,000.00 - $97,100.00 per year.
  • Health insurance.
  • 401K and stock purchase plans.
  • Tuition reimbursement.
  • Paid time off plus holidays.
  • A flexible approach to work with remote, hybrid, field, or office work schedules.

We are an equal opportunity employer 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.



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