Job Description
Job Title: Care Manager – Health Plan (Behavioral Health)
Location: 100% Remote
Start Date: ASAP (All 8 hires will train on the same day)
End Date: At least 3 months, with potential for extension
Schedule: Monday – Friday | Start: 8:00 or 8:30 AM CST | End: 4:30 or 5:00 PM CST
Pay Rate: 35+
Position Type: Contract
Openings: 8
Conversion Potential: Possible extension, no current plans for FTE conversion
Position Summary:
We are actively hiring experienced Care Managers to support behavioral health utilization and care management functions for a national health plan. This is a fully remote role requiring strong clinical judgment, exceptional communication skills, and experience in mental health and substance use case management. Ideal candidates will be able to start immediately and train with the full onboarding class.
Responsibilities:
Provide utilization management and care coordination for members with mental health and substance use needs
Review clinical documentation to determine medical necessity and appropriateness of care
Communicate with providers, members, and internal teams to ensure timely and accurate care plans
Document cases and communications thoroughly and accurately using Microsoft Office and internal systems
Apply knowledge of clinical criteria such as DSM, ASAM, and industry best practices to decision-making
Contribute to quality care initiatives and program improvement efforts
Required Qualifications:
5+ years of experience in care management and utilization management
Behavioral health experience with mental health and substance use populations
Proficient in Microsoft Office and case documentation tools
Strong written and verbal communication skills
Excellent typing and multitasking ability
Preferred Qualifications:
Familiarity with DSM (Diagnostic and Statistical Manual) and ASAM (American Society of Addiction Medicine) criteria
Health plan or managed care experience
Licensure/Certifications:
If you are interested, please contact Chin Yang at A-Line Staffing.
586-323-4194 | cyang@alinestaffing.com
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