Care Manager - Lucet

Who We Are

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our mission - and our passion - is to improve the lives of the members we serve and be the ideal partner for our providers.

Lucet's unique combination of people and technology has proven to optimize access to behavioral health care providers and increase a health plan's ability to connect members to quality care. With the industry's largest network of care navigators and technology powered by more than six million assessments and more than 20 years of data, Lucet is the only solution proven to successfully identify and connect people across the entire acuity spectrum with the right care in less than five days on average, and often as little as one day.

Our members, providers and partners fully entrust us to deliver outstanding quality care through coordinated behavioral health services, employee assistance programs, organizational consulting, student well-being programs and more.

When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives.

Job Summary

The Care Manager is responsible for providing case management and support activities for Lucet members who have been discharged from inpatient or residential treatment settings, need assistance during a signification treatment transitions, or have co-occurring medical and behavioral health conditions and who meet the Lucet eligibility criteria for integrated case management. This includes significant coordination with all departments within Lucet, health plans, facilities and providers to promote effective, efficient and quality care for Lucet members.

Essential Functions

• Utilize the components of the case management process including elements of comprehensive assessment, identification of targeted barriers to improvement, linking to needed professional and community resources, development of care plan, implementation of care plan, documentation of outcomes, iterative care plan review and adjustment based on outcomes, health stabilization, and patient graduation
• Promote and provide quality service delivery and effective care transitions planning for optimal member health outcomes
• Use motivational interviewing to engage and maintain relationships with members
• Conduct telephonic assessments with the members to gather information regarding the member's current treatment, possible treatment needs and identify any barriers to accessing services
• Conduct face to face and/or telephonic communication with the member and/or member's parents/guardian, facility, and outpatient providers, including primary care physician (PCP) to gather information to identify discharge needs and any barriers to accessing post hospital discharge services and facilitate coordination of services
• Develop goals and objectives with the member to promote self-management, avoid readmission and connect the member with timely aftercare services
• Collaborate with member and facilitates coordination and communication between member and their providers and support system to create crisis prevention plan
• Assist the member to engage successfully with their behavioral providers and others in their support system to move toward self-management
• Facilitate coordination, communication and collaboration on behalf of the member to achieve goals
• Build trusting collaborative relationships
• Demonstrate case management expertise in response to a variety of circumstances ranging from crisis intervention to routine business matters
• Coordinate with Health Plan medical management and medical services providers, including primary care physicians and patient centered medical homes, to promote integrated member health care
• Participate in clinical staffing and other meetings and trainings upon management request
• Present clinical cases to staff and consulting providers upon request of supervisor and as required by case management, policies, and procedures
• Utilize appropriate tools such as Lucet approved case management models, assessment instruments, practice guidelines, and other applications and tools
• Complete appropriate documentation in clinical systems in compliance with regulatory and accreditation standards
• Provide information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Lucet services, policies and procedures and criteria
• Coordinate consultations with member's provider, family and Lucet Physician consultants on clinical cases when necessary and appropriate to facilitate care and progress
• Stay current with case management technology, member BH benefits, and non-health community resources
• Provide follow-up and support calls to members and providers as needed and as assigned by Manager/Supervisor
• Make recommendations of programs and/or systems that create improved outcomes and timeliness of the case management department
• Contribute to site specific audits/surveys/research projects that are relevant to case management process, policies, and procedures
• Participate in on-going continuing education as required by professional licensure, certification, or as requested by Lucet and maintains clinical licensure and certifications
• Participate in special committees or projects for program development as assigned by Manager/Supervisor
• Adhere to the policies and procedures for case management activities as well as screening, triage and referral activities, including timeliness of activities/services and accuracy of documentation
• Adhere to Lucet Mission Statement, Core Values, Behaviors, Code of Business Conduct, and Compliance Program
• Complies with all Federal and applicable State laws and Lucet Policies regarding, privacy, confidentiality, and security of health information, and other designated information

Job Qualifications

Required

• Current, unrestricted state license issued by a state or territory of the United States to practice independently as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse in the state in which the business operation is located and/or other states as required by law, regulation or contract.
• Minimum of 2 years of direct clinical care experience
• Excellent verbal and written communication and interpersonal skills
• Strong computer and keyboarding skills (Microsoft Outlook and Word), including the ability to document while simultaneously while taking information over the phone
• Ability to comprehend medical policy and criteria to clearly articulate health information

Preferred

• Certified Case Managers (CCM) are preferred with requirement to obtain CCM within the first three years of hire

Key Competencies

• Self-motivated and the ability to assume a role in ensuring that all objectives are met
• Ability to work independently to meet case load requirements and team objectives/goals
• Proven interest in professional development through specialization, certification, and/or advanced degree
• Maintains curiosity and an eagerness to explore new knowledge and try new ideas and approaches to case management
• Professional demeanor in response to all situations regardless of the nature or circumstances of the situation
• Able to manage multiple tasks in a fast-paced, changing environment
• Ability to work within a collaborative, team-oriented environment

Working Conditions

• Work is performed indoors in a remote, home setting or typical office environment- not substantially exposed to adverse environmental conditions.
• Frequent exposure to VDT screen.
• Frequent use of office machines to include telephone, copier, computer, and fax machine.
• Must be able to constantly remain in a stationary position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.

Salary and Other Compensation:

The starting salary that Lucet reasonably expects to pay for this position ranges from $49,000 - $74,000 annually, depending on circumstances including an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.

This position is eligible for a bonus in accordance with the terms of Lucet's incentive plan based on both company performance and individual performance. 

Benefits: The Company offers the following benefits for this position, subject to applicable eligibility requirements: Medical, Dental, Vision, 401(k) with competitive employer match, company paid life and disability insurance, company paid gym access, tuition reimbursement, parental leave, PTO (vacation, sick and volunteering), Remote Work.

This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.