• Conduct outreach to members requiring transitional support following hospitalizations or emergency department visits.
• Schedule and coordinate appointments with members' behavioral health treatment providers or internal care teams.
• Utilize established care management programs to provide ongoing support to members.
• Accurately document all member interactions in compliance with job aides and contribute to HEDIS goals.
• Communicate effectively with local leadership regarding any procedural questions or concerns.

• Must hold an active, unrestricted behavioral health clinical license in the state of practice (e.g., LCSW, LISW, LPC, LPCC, LMHC, LMFT, CADC, SUDP, or state equivalent).
• National Provider Identifier (NPI) required.

• Minimum of 3 years of experience in behavioral health, substance use disorder treatment, care management, or a related clinical setting.
• Demonstrated experience in behavioral health care management, including transitional support following hospitalizations or emergency department visits.
• Strong knowledge of behavioral health quality and HEDIS measures, including FUH, FUM, FUI, and IET.
• Proven ability to conduct telephonic and/or face-to-face outreach with members to support follow-up care.
• Experience in scheduling and coordinating appointments with behavioral health providers or internal care teams.
• - Excellent clinical documentation skills, with the ability to accurately document member interactions in accordance with job aides and compliance requirements.
• Strong communication and collaboration skills, including the ability to work with leadership and interdisciplinary teams.
• Demonstrated ability to handle and protect PHI in compliance with healthcare privacy and security standards.
• Experience working within secured healthcare systems and accessing clinical platforms remotely.
• Ability to work full-time (40 hours/week) during MST business hours.
• Comfortable working remotely using personal or agency-provided equipment to access virtual desktop environments.

• Licensed candidates only | Some Field visits required | Post-discharge follow-ups.

The Company offers the following benefits for this positi$on, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time, hours of paid vacation time, weeks of paid parental leave, and paid holidays annually – as applicable.