Clinical Care Manager, LICSW/LMHC
CareSource
full-time
Posted on:
Location Type: Hybrid
Location: Lowell • Massachusetts • United States
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Salary
💰 $90,000 - $120,000 per year
Job Level
About the role
- Conducts outreach to members and providers to confirm service details, coordinate scheduling, address general inquiries, and ensure accurate documentation of care coordination activities.
- Coordinate services by working with providers, community partners, and member/caregivers to manage scheduling, service updates, and administrative changes, as needed.
- Serves as a support resource for member and provider requests, escalations, or concerns by coordinating responses and ensuring issues are routed or addressed promptly.
- Collaborates with the care team, providers, and other partners as needed to support member service requests and ensure smooth communication and continuity across care activities.
- Initiate outreach to members, vendors, providers, and/or vendors/suppliers to follow up on non-clinical matters assigned by the Care Team (e.g., including authorization status, DME status, appointment scheduling and prescription assistance).
- Provide administrative support as assigned.
- Assist members and the Care Team with solving health plan related concerns, i.e. claims follow up or prior auth status, etc.
- Help members schedule transportation to medical appointments; assist members with booking issues.
- Support targeted member outreach campaigns when there is an event that has the potential to broadly impact our membership’s wellness, such as agency closures, hazardous/catastrophic events (e.g., power outages, fires, inundations).
- Coordinates interpreting and translation supporting services for the member (including ADA compliance).
- Obtain documents/forms that allow Care Team to speak with members and/or representatives on the member’s behalf in accordance with HIPAA laws – e.g., Release of Information (ROI), Oral Disclosure of Protected Health Information.
- Assist leadership with the development, refinement and enhancement of programs, initiatives, processes, policies, workflows, and projects.
- Mentor for new Care Navigation Specialist – during and beyond their orientation period, if needed.
- Maintain accurate documentation and maintenance of member records and alignment with regulatory standards, ensuring timely distribution to appropriate internal teams or provider partners as needed.
- Follow established standards of practice, internal policies, and procedures to ensure compliance with contractual obligations and applicable regulatory requirements.
- Identify member and provider needs and facilitates referrals to appropriate internal teams such as care management or community-based support programs.
- Performs any other job related duties as requested.
Requirements
- High School or GED required
- One (1) year of related experience in a health-related service field required
- Critical thinking and troubleshooting skills
- Strong customer service and problem-solving skills
- Ability to work in multiple systems, often simultaneously
- Clear, concise, and effective oral and written communication
- Strong time management and demonstrated ability to work independently
- Flexibility to adapt to business needs
- Motivated team player
- Excellent organizational skills
- High attention to detail and accuracy
- Basic arithmetic skills required
- Proficiency in Microsoft Office Suite
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
- Bonuses
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
critical thinkingtroubleshootingcustomer serviceproblem-solvingtime managementorganizational skillsattention to detailbasic arithmetic
Soft Skills
effective communicationflexibilityteam playerindependence
Certifications
High School diplomaGED