Care Manager

Davita Inc.; Wichita (KS); Remote; USD 55,000 - 70,000; Full time

Job summary

A leading healthcare provider seeks a Care Manager in Sedgwick County, KS, responsible for developing and facilitating comprehensive care for members with mental and behavioral health needs. This role involves creating personalized care plans, collaborating with various stakeholders, and educating families, all while ensuring compliance with regulations. Ideal candidates will possess a Master's degree in Behavioral Health or Social Work and have experience in child welfare and mental health.

Qualifications

• Master Social Worker or RN with 2-4 years of relevant experience required.
• Licensed Master Social Worker or RN based on state contract requirements required.
• Experience with mental illness preferred.

Responsibilities

• Develops and facilitates complex care management for mental and behavioral health needs.
• Coordinates care plans/service plans and monitors member outcomes.
• Provides education to members and collaborates with healthcare providers.

Skills

Experience with Foster Care Youth

Mental Health

Child Welfare

Trauma Informed Care

Education

Master's in Behavioral Health

Degree from an Accredited School of Nursing

Job description

Position Title: Care Manager

Work Location: Sedgwick County, KS (remote with travel within Sedgwick and surrounding counties)

Assignment Duration: 3 months Contract to Hire

Work Schedule: 8 am-5 pm-with some flexibility based on member need

Work Arrangement: Remote with up to 50% travel meeting with members in their home and providers

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:

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  Additional staff needed due to business fluctuation.

  
  


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  Complies with all policies and standards.

  
  


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  Standard remote setup with structured team engagement (bi?weekly huddles, team meetings and chats).

  
  

Key Responsibilities:

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  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

  
  


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  May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources

  
  


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  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

  
  


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  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

  
  


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  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

  
  


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  Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services

  
  


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  Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators

  
  


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  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

  
  


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  Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner

  
  


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  Performs other duties as assigned.

  
  

Qualification & Experience:

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  Required: Master Social Worker or RN (Master's degree in Behavioral Health or Social Work or Degree from an Accredited School of Nursing) and 2-4?years of related experience

  
  


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  Preferred: PhD

  
  


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

  
  


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  Must haves: Experience working with Foster Care Youth, Child Welfare, Mental Health

  
  


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  Must have good driving record due to member visits

  
  


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  Nice to haves: experience in BH, trauma informed care, experience with working with individuals with mental illness