Care Manager

Position Title: Care Manager

Work Location: Remote-SC, Columbia (2-3 hours from everything), but regionally, Charleston

Assignment Duration: 3 Months

Work Schedule: 8 hours daily

Work Arrangement: Remote

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.

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:
• Make calls, visits, and coordinate care for members.
• Work is driven by metrics from the state that all are time-driven.
• Document within 24 hours unless on Friday.
  
  Qualification & Experience:
• Required: Bachelor's Degree.
• Preferred: Bachelor's does not have to be in nursing.
• Required: RN or LMSW.
• Must haves: Bachelor's degree in health-related field, LMSW.
• Nice to haves: A background in Behavioral Health (BH) is helpful.
• Disqualifiers: Doesn't want to travel.
• Performance indicators: Able to meet strict deadlines related to documentation/visits/calls, documented within 24 hours unless on Friday, HMs get report to note who's out of compliance, must be able to adapt to change