Care Manager

Who We Are

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body.

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.

Why join our team at Lucet?

We are a team of collaborative and hard-working professionals working to improve behavioral health outcomes working in a fast-paced and changing environment. At Lucet, no two days are the same. If you find joy in meaningful work and delivering excellent results, we encourage you to apply!

Benefits

We are looking for top-tier skills and experience in our remote-work environment and that’s because we offer top-tier compensation and benefits, which include:

• Annual compensation between $65,000 - $75,000, PLUS an annual performance-based, discretionary incentive. Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
• Health Insurance – $0 premium for employee-only coverage in our core program for those participating in our Wellbeing Incentive Program.
• 401(k) with competitive employer match
• Company paid life and disability insurance, wellbeing incentives, and parental leave
• Professional development opportunities and tuition reimbursement
• Paid time off including paid time off for volunteering
• Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
  
  

What You Will Do - Essential Functions

The Care Manager Clinician coordinates and oversees comprehensive behavioral health services, ensuring health plan members receive the appropriate level of care while optimizing resource utilization. This role blends care management strategies, such as assessing and developing personalized care plans, engaging members to foster self-management, and supporting recovery, with utilization management practices that include reviewing and authorizing behavioral health services based on medical necessity, treatment guidelines, and outcomes. This role is the single point of contact for a member through the continuum of care, increasing member engagement and continuity. By collaborating with healthcare providers, members, and community resources, this individual ensures that behavioral health services are delivered efficiently, effectively, and in accordance with established policies and procedures. The ability to work in a cross-functional manner, coordinating with all departments within Lucet, health plans, facilities and providers to promote strong health outcomes and stability for our members.

• Clinical Expertise & Assessment
• Apply expertise in medical necessity, diagnosis, medication management, and psychosocial factors.
• Conduct assessments to determine treatment needs, barriers, and ensure service compliance with state/federal regulations.
• Case Management & Care Coordination
• Utilize case management processes, including assessments, care planning, and outcome adjustments to optimize member health.
• Collaborate with members and providers for crisis prevention, care coordination, and aftercare connections.
• Member & Provider Engagement
• Build collaborative relationships with members and providers using motivational interviewing and communication strategies.
• Educate on mental health, substance abuse resources, and services, and facilitate post-hospital discharge planning.
• Compliance, Documentation & Professional Development
• Stay updated on case management technology, maintain accurate documentation, and adhere to regulatory standards.
• Engage in audits, quality initiatives, and continuing education for licensure and certification.
  

Who You Are

• Required Qualifications
• 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.
• 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
• Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.
• Someone who embodies our values by:
• Serving everyone with compassion and leading with empathy.
• Stepping up and creating value by taking charge and acting when there is an opportunity.
• Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
• Nurturing growth and belonging by respecting and celebrating everyone for who they are.
• 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 from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
• A quiet workspace with minimal background noise for calls.
• High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting).
  

We encourage applicants with a range of experiences who can demonstrate how their qualifications and skills align with the requirements of this role.

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.