Behavioral Health Care Manager (APRN/MSW/LMHP) - Remote in Louisiana

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

REMOTE ROLE - OPEN TO LOUISIANA RESIDENTS ONLY

Responsibilities:

The Behavioral Health Care Manager (BHCM) will assist members with appropriate specialized behavioral health care coordination and care management services to achieve their optimal levels of mental health. The BHCM will report to the BH Manager, Integrated Health Care Mgmt. Shall meet the requirements for a Licensed Mental Health Practitioner and have at least seven (7) years of experience and expertise in special behavioral health needs. Will be responsible for engaging members, member caregivers, and providers to assess, plan, and establish individual member goals. The BHCM will facilitate and coordinate care for members while assuring quality and use of cost-effective resources.

The Care Manager will function as a single point of contact and be a sponsor for members in the care coordination program and will serve as an advocate for the member and act as a liaison between the member, state agencies, and other community-based agencies, facilities, providers, and practitioners in coordinating the member’s care. The Care Manager will coordinate and perform transition planning for members transitioning between levels of care. Sever as a single point of contact dedicated to liaising with the judicial system. Functions include serving as a point of contact for judges and court personnel and appearing in court when requested by the court system or the Department of Health and Hospital. This contact shall also serve as a point of contact for Department of Health and Hospital (DHH) legal and staff working with Department of Health and Hospital custody cases. The Care Manager shall have familiarity with drug court, juvenile court, family court and criminal court processes and issues and shall provide continuous outreach and education to the judicial system on access to services. The Care Manager liaison shall serve as a point of contact for inquiries, barriers, and resolution for Local Government Equity and a Permanent Supportive Housing (PSH) program liaison. The Care Manager shall have experience with the Local Government Equity structure, services provided, members served, and responsibilities. This liaison may be required to attend Human Services Interagency Council (HSIC) meetings if requested by the Department of Health and Hospital.

Education/Experience:

• Master’s degree in Advanced Practiced Registered Nurse, Social Work, or Licensed Behavioral/Mental Health Professional from an accredited institution.
  • Advanced Practice Registered Nurse (APRN) specializing in: Adult Psychiatric & Mental Health, Family Psychiatric & Mental Health, and Certified Nurse Specialist in Psychosocial, Gerontological, or Child/Adolescent Mental Health.
  • Licensed Mental Health Professional (LMHP), including: Medical Psychologist, Licensed Psychologist, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Addiction Counselor (LAC)
• Required minimum of seven years (7) of experience in behavioral healthcare operations, including case management, mental health, or a related field.
• Deep understanding of Medicaid and Medicare behavioral health regulations and compliance standards.
• Experience in utilization management, care coordination, and population health strategies to improve patient outcomes.
• Ability to collaborate with interdisciplinary teams, including physicians, case managers, and social workers, to provide integrated care.
• Proficiency in electronic health records (EHR) and data analytics tools to monitor care quality and efficiency.
• Strong analytical and problem-solving skills to identify care gaps and implement intervention strategies.
• Experience training and educating healthcare professionals on best practices in behavioral health case management.
• Eligible for Care Management (CCM) certification within one year of hire.
• Valid driver’s license with auto insurance.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable being themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.