Develops, assesses and coordinates holistic care management activities.
Evaluates member service needs and develops or contributes to development of care plans/service plans.
Evaluates the needs of the most complex and high risk members with mental/behavioral health needs.
Acts as liaison and member advocate between the member/family, physician, and facilities/agencies.
Supports members with primarily mental/behavioral health needs.
Performs frequent home and/or other site visits to assess member needs and collaborate with resources.
Provides and/or facilitates education to long-term care members and their families/caregivers.
Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities.
Educates on and coordinates community resources.
Provides coordination of service authorization to members and care managers for various services based on service assessment and plans.
Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system.

LCSW, LPC, or RN license with Psych/ Behavioral Health experience
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 based on state contract requirements e.g., LCSW, LPC, or RN with Behavioral Health experience is required
Clinical LPC, LCSW, or Psych RN with 3+ years of psychological admissions/intakes, medication management for mental health/ physical health conditions, care coordination, and discharge planning with adult (ages:18
3+ years of clinical LPC, LCSW, Psych RN experience supporting members with primarily mental/behavioral health needs
Direct work experience coordinating and managing healthcare/behavioral health services and personal assistance/social services
Experience in FIELD-BASED roles or work in-patient behavioral health hospital, community health, home health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA)
Current or previous government-sponsored healthcare experience preferred
Critical thinking skills and ability to use nursing judgement to assess member’s health risks to ensure member safety.
Strong clinical documentation and time management skills.
Flexibility, resilience, and excellent interpersonal communication skills for member advocacy
Reliable transportation is required.

LPC, LCSW, Psych RN – LTSS Service Care Manager

Key skills