Care Manager

Davita Inc.; Columbia (SC); Remote; USD 60,000 - 75,000; Full time

Job summary

A leading healthcare provider is seeking a Care Manager to support mental health and behavioral health needs for Medicaid members in South Carolina. This position will require developing personalized care plans, making regular outreach to ensure compliance, and collaborating with members and families. This role is crucial in providing high-quality care outcomes and will involve managing complex cases effectively.

Qualifications

• RN license required.
• Bachelor's degree in health-related field preferred.
• Experience in Behavioral Health is a plus.

Responsibilities

• Develop and facilitate care management activities for members.
• Coordinate calls and visits to ensure healthcare compliance.
• Meet strict deadlines for documentation related to member visits.

Skills

Communication

Adaptability

Team collaboration

Education

Bachelor's Degree

Job description

Title: Care Manager

Duration: 3 Months with Potential to extend or convert FTE

Location: Remote-SC with Columbia/Charleston (member-facing)

Mon-Fri 8A-5P

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 including personalized care plans and education for members and their families related to mental health and substance use disorder.



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:


• CM will make calls, visits, and coordinate care for members.


• Our work is driven by metrics from the state that all are time-driven.
  
  
  
  Qualification & Experience:

Candidate Requirements
Education/Certification	Required: Bachelor's Degree	Preferred: Bachelors does not have to be in nursing
Licensure	Required: RN	Preferred: RN required or LMSW
Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: Bachelors 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 Best vs. average:
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Ability to handle frequent change in policies and procedures
2	Work independently to meet metrics
3	Team collaboration