Complex Care Specialist

Lyra Health; United States; Remote; USD 68.000 - 92.000; Vollzeit

Benefits dieser Stelle

Comprehensive healthcare coverage

Lyra for Lyrians; coaching and therapy

Equity in the company via RSUs

Competitive time off with pay

Zusammenfassung

Lyra Health is seeking a Clinical Specialist for the Complex Care program to assess client needs for higher levels of care and provide in-the-moment phone support. The role focuses on remote case management, guiding clients into evidence-based facilities and programs, and developing personalized care plans.

Responsibilities include managing a caseload of complex clients, conducting risk assessments, and coordinating with health plans and providers to ensure seamless access to care.

Qualifikationen

• Master's degree in clinical social work or equivalent; LCSW or equivalent license required.
• Experience managing high-risk clinical situations and navigating health plans.
• Ability to work independently in a remote environment within a small team.

Aufgaben

• Independently manage a caseload of complex, multi-need clients with long-term case management.
• Facilitate ongoing engagement, guiding clients through levels of care using Motivational Interviewing.
• Conduct risk assessments and safety planning to connect clients to appropriate treatment.
• Provide crisis support via phone and email, offering evidence-based coping skills.
• Communicate with clients and providers via email, phone, and text.
• Use Lyra's matching software and databases to identify treatment options.
• Develop personalized care plans and participate in Multidisciplinary Team Meetings.

Kenntnisse

Case management

Crisis management

Remote collaboration

Ausbildung

Master's degree in clinical social work or equivalent

Tools

Health plan procedures

Licensure knowledge

Jobbeschreibung

About Lyra Health

Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships. The company has delivered more than 15 million sessions of mental health care, published more than 35 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness, and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions.

About the Role

As a Clinical Specialist for our Complex Care program, you’ll be doing the important, meaningful work of assessing client clinical needs for higher levels of care, providing in-the-moment phone support to clients with complex behavioral health issues, ensuring client safety, and navigating clients into high quality, evidence-based facilities and programs. This position does not involve providing in-person services or therapy, but instead focuses on supporting clients in connecting to care, exclusively by phone and email, providing longitudinal case management support.

This role may be a good fit if you are dedicated to helping clients with the most complex and high-risk needs get the support they need to successfully access care and remain engaged in life-changing treatment. If you are curious, open to feedback, and adapt quickly to new protocols.

Monday - Friday: 9:00am - 5:30pm PT

Responsibilities

• Independently manage a caseload of complex, multi-need clients, providing collaborative, long term case management
• Successfully facilitate ongoing engagement, supporting clients as they move through various levels of care, employing Motivational Interviewing and other strategies to support client readiness for treatment
• Skillfully manage client crises, providing brief risk and needs assessments, safety planning and de-escalation with the goal of connecting the client to treatment
• Respond to in-the-moment callers seeking crisis support, offering brief, evidence-based coping skills
• Effectively and professionally communicate with clients and providers throughout the process of accessing care, via email, phone and occasionally text
• Creatively troubleshoot roadblocks to offering personalized, high quality clinical care options for our clients
• Use Lyra's proprietary matching software, as well as other methods including facility database, health plan directory and internet searches to identify treatment options and connect clients to the best treatment based on each individual client’s specific needs and preferences
• Administer and monitor clients’ self-reported symptoms on PHQ-9, GAD-7 or other measures
• Develop personalized care plans with treatment options for clients
• Participate in and present cases for discussion at Multidisciplinary Team Meeting
• Proactively outreach members who may benefit from additional support and utilize Motivational Interviewing strategies to engage them in the program
• Coordinate care and communicate with Preferred Facility Network providers prior to, during and at the end of treatment including recommendations for level of care, length of stay, treatment modality and discharge planning
• Coordinate care and communicate with clients’ health plans and/or navigators to ensure seamless access to care (e.g. meet weekly with Navigator to discuss mutual clients and ensure accountability for engagement)
• Collaborate with billing team and Preferred Facility Network to ensure clients have authorized referral to access treatment paid via Lyra; treatment meets clinical and quality expectations and any concerns are addressed
• Participate in on-call rotation for direct phone line to handle warm referrals from Care Navigator Team, Clinical Care Navigator or Health Plans
• Complete screenings for Lyra's Dialectical Behavior Therapy (DBT) program
• Provide feedback to leadership for continuous program improvement including suggestions to improve client experience operational efficiencies or outcomes

Qualifications

• Master's degree in clinical social work or equivalent; LCSW or equivalent independent clinical licensure is required (e.g., LMFT, LPC, LPCC, etc.). We're unable to provide supervised hours toward licensure. Candidates without a state license to deliver mental health services, independently, will not be considered.
• Significant experience managing high-risk clinical situations (e.g., suicidality, mandated reporting), navigating health plans and encouraging client engagement with escalating mental health needs
• Proficient in case management and with delivering specialized care for clients with diverse care needs
• Knowledge of higher levels of care and of community mental health health resources
• Self-directed clinical professional who can work independently in a remote environment and work effectively and collaboratively within a small team of dedicated clinicians
• Familiarity with Health Plan procedures, medical necessity criteria and a passion for helping clients understand their benefits and options for care.
• Candidates must be a full time resident of the United States; work cannot be completed from outside the United States.
• Bilingual, Spanish-speaking candidates strongly preferred (but not required)

$38.65 - $38.65 an hour

As a full-time Complex Care Specialist, you will be employed by Lyra Health, Inc. The anticipated base rate for this full-time position is $38.65 per hour. The base rate is determined by role and level, and the base rate will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location.

The base rate is only one part of an employee's total compensation package at Lyra. We also offer generous benefits that include:

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances)
• Lyra for Lyrians; coaching and therapy services
• Equity in the company through discretionary restricted stock units
• Competitive time off with pay policies