Care Manager

Spectraforce Technologies, Inc.; Hutchinson (KS); Remote; USD 52,000 - 70,000; Full time

Job summary

Spectral, FiberTech? Spectraforce Technologies, Inc. is seeking a Care Manager to support members with complex mental and behavioral health needs. This remote role involves substantial travel to engage with members and caregivers, ensuring timely access to care and services in Kansas.

The ideal candidate will coordinate care plans, educate families, and collaborate with providers to improve outcomes while maintaining high-quality documentation and compliance with state and payer requirements.

Qualifications

• Requires 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 coordinating care in behavioral health or child welfare.
• Licensure as a Licensed Master’s Behavioral Health Professional or RN based on state contract requirements with BH experience.

Responsibilities

• Evaluates member needs via phone or in-home visits and facilitates care plans.
• May perform telephonic, digital, home or other site visits to assess needs.
• Develops ongoing care plans for high-acuity members and coordinates with providers and community resources.
• Coordinates between member, family/caregivers, resources and care team to ensure services are accessible.
• Monitors and updates care plans based on symptoms, side effects, and changes in treatment.

Skills

Strong communication

Documentation

Adaptability

Problem solving

Education

Master's degree in Behavioral Health or Social Work or Nursing

Job description

Position Title: Care Manager
Work Location: Remote - KS; Ideal candidate in Central KS - Salina, Hutchinson, Great Bend, Pratt, and surrounding areas
Assignment Duration: 6 Months (Possibility to extend or convert)
Work Schedule: 8am-5pm, with possibility of some evening hours due to business need
Work Arrangement: Remote with 75% travel; field worker that is member-facing

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

Our team specifically supports members in foster care and coordinates services and supports to ensure the members' needs are met. Additional staff needed due to business fluctuation. Our team culture is member-focused, collaborative, accountable, and mission-driven.

Key Responsibilities

• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Performs other duties as assigned.
• Complies with all policies and standards.
• 48hr in-person visits following a placement change for the member
• 7-Day team meetings following a placement change for the member
• Telephonic outreaches based on member's acuity
• In-person visits based on member's acuity
• Annual assessments
• In-person visits that may take place after 5pm
• Weekly team meetings

Qualification & Experience

Education/Certification

Required: Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience

Licensure

• Required: Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required

Years of experience required

At least one year of experience coordinating services across child welfare and related systems of care

Disqualifiers: no experience working in child welfare and related systems of care

Additional qualities to look for: strong communication, high quality documentation, adaptability/flexibility, and solution focused