Licensed Episodic Care Manager

Job Summary

A company is looking for an Episodic Care Manager to support members with short-term behavioral health or medical needs in a fully remote role.

Key Responsibilities

• Manage short-term member cases by creating tailored care plans for behavioral, medical, and social complexities
• Collaborate with various healthcare facilities and community resources to ensure smooth transitions of care
• Evaluate clinical information to determine appropriate levels of care using tools like MCG or InterQual

Required Qualifications

• Active clinical license such as LPN, RN, LCSW, LPC, LCPC, or equivalent
• Experience working with psychiatric populations, especially in adolescent care or eating disorder treatment
• Background in inpatient care, utilization management, or residential treatment settings
• Ability to interpret clinical documentation and collaborate with multidisciplinary teams
• Familiarity with utilization review tools like MCG or InterQual