Care Manager (Behavioral Health)

Remote position in New Jersey serving members in Passaic and Sussex Counties. Candidates must reside in Passaic, Sussex, or a nearby bordering county. Up to 50% local travel required.

About the Role

Develops, assesses, and facilitates complex care management activities for members with primarily mental and behavioral health needs. The role focuses on delivering high-quality, cost-effective healthcare outcomes through personalized care plans and education for members and their families related to mental health and substance use disorders.

Responsibilities

• Evaluates member needs via phone or in-home visits, assessing available resources and recommending or facilitating care plans for optimal outcomes, including addressing behavioral health and social determinant needs.
• Performs outreach through telephonic, digital, home, or other site visits to assess member needs and collaborate with resources.
• Develops ongoing care plans for members with high acuity, identifying providers, specialists, and community resources, including those for mental health and substance use disorders.
• Coordinates between members, families/caregivers, community resources, and care provider teams to ensure accessible services.
• Monitors care plans and member status for changes in treatment side effects, complications, or clinical symptoms, adjusting recommendations as needed.
• Facilitates care coordination and collaborates with providers or specialists to ensure timely access to care or services.
• Collects, documents, and maintains member information and care management activities to comply with state, federal, and third-party payer regulations.
• Provides education to members and families on procedures, provider instructions, treatment options, referrals, and healthcare benefits, including behavioral health and social determinant needs.
• Offers feedback to leadership on opportunities to improve care and quality delivery cost-effectively.
• Complies with all company policies and standards.

Requirements

• Master’s degree in Behavioral Health, Social Work, or a degree from an Accredited School of Nursing with 2–4 years of related experience.
• Active New Jersey license required.
• Licensed Master’s Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with behavioral health experience.
• For NJ Health Plan Only: Master’s degree in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required.

Schedule

Monday–Friday, 9:00 AM–5:00 PM.

Pay

$56,200.00 - $101,000.00 per year. Actual pay adjusted based on skills, experience, education, and other job-related factors permitted by law. Total compensation may include additional incentives.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work approach, including remote, hybrid, field, or office options.