Clinical - Care Manager

Immediate need for a talented Clinical – Care Manager. This is a 03+ months contract opportunity with long-term potential and is located in Florida(Remote). Please review the job description below and contact me ASAP if you are interested. 

Job ID: 24-53293

Pay Range: $35 - $38/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Requirements and Technology Experience: 

• Key skills; Pediatrics, Licensed Social Worker, bachelor’s degree
• Requires a Master's degree or Graduate from an Accredited School or Nursing and 4+ years of related experience.
• Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, and RN with BH experience requiredMonitors and reviews care management required documentation to maintain compliance with federal and state regulations and contractual agreements
• Assigns caseloads to care management staff based on state requirements, care management staff experience, and member needs
• Works with senior management on escalated and complex care cases related to BH and provides guidance to junior team members to address member concerns
• Educates and provides resources for care management team on key initiatives and member outreach
• Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones
• Provides coaching and guidance to care management team and providers to ensure members are receiving high quality care and information regarding service / care plan options, procedures, referrals, and healthcare benefits
• Monitors and review reports on a regular basis ensuring quality and productivity metrics are met and for case assignments, and may perform audits of staff on a regular basis
• Assists with onboarding, hiring, and training care management team members
• Performs other duties as assigned
• Complies with all policies and standards
• Supervises the care management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs.
• Supervises day-to-day escalations and care management issues related to members or providers.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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