Complex Care Specialist jobs in United States
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Lyra Health · 14 hours ago

Complex Care Specialist

Lyra Health is the leading provider of mental health solutions for employers, supporting over 20 million people globally. As a Complex Care Specialist, you will assess client clinical needs, provide phone support for clients with complex behavioral health issues, and navigate them into high-quality care facilities and programs.

Employee BenefitsHealth CareInformation ServicesInformation TechnologyMental Health
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Culture & Values

Responsibilities

Independently manage a caseload of complex, multi-need clients, providing collaborative, long term case management
Successfully facilitate ongoing engagement, supporting clients as they move through various levels of care, employing Motivational Interviewing and other strategies to support client readiness for treatment
Skillfully manage client crises, providing brief risk and needs assessments, safety planning, and de-escalation with the goal of connecting the client to treatment
Respond to in-the-moment callers seeking crisis support, offering brief, evidence-based coping skills
Effectively and professionally communicate with clients and providers throughout the process of accessing care, via email, phone, and occasionally text
Creatively troubleshoot roadblocks to offering personalized, high quality clinical care options for our clients
Use Lyra’s proprietary matching software, as well as other methods including facility database, health plan directory, and internet searches to identify treatment options, and connect clients to the best treatment, based on each individual client’s specific needs and preferences
Administer and monitor clients’ self-reported symptoms on PHQ-9, GAD-7, or other measures
Develop personalized care plans with treatment options for clients
Participate in and present cases for discussion at Multidisciplinary Team Meeting
Proactively outreach members who may benefit from additional support and utilize Motivational Interviewing strategies to engage them in the program
Coordinate care and communicate with Preferred Facility Network providers prior to, during, and at the end of treatment including recommendations for level of care, length of stay, treatment modality, and discharge planning
Coordinate care and communicate with clients’ health plans and/or navigators to ensure seamless access to care (e.g. meet weekly with Navigator to discuss mutual clients and ensure accountability for engagement)
Collaborate with billing team and Preferred Facility Network to ensure clients have authorized referral to access treatment paid via Lyra; treatment meets clinical and quality expectations; and any concerns are addressed
Participate in on-call rotation for direct phone line to handle warm referrals from Care Navigator Team, Clinical Care Navigator, or Health Plans
Complete screenings for Lyra’s Dialectical Behavior Therapy (DBT) program
Provide feedback to leadership for continuous program improvement, including suggestions to improve client experience, operational efficiencies, or outcomes

Qualification

LCSWEquivalent licensureCase managementCrisis managementMotivational InterviewingMental health resourcesBilingualSpanish-speakingSelf-directedCollaborationCommunication skills

Required

Master's degree in clinical social work or equivalent; LCSW or equivalent independent clinical licensure is required (e.g., LMFT, LPC, LPCC, etc.). We're unable to provide supervised hours toward licensure. Candidates without a state license to deliver mental health services, independently, will not be considered
Significant experience managing high-risk clinical situations (e.g., suicidality, mandated reporting), navigating health plans, and encouraging client engagement with escalating mental health needs
Proficient in case management and with delivering specialized care for clients with diverse care needs
Knowledge of higher levels of care and of community mental health health resources
Self-directed clinical professional who can work independently in a remote environment and work effectively and collaboratively within a small team of dedicated clinicians
Familiarity with Health Plan procedures, medical necessity criteria, and a passion for helping clients understand their benefits and options for care
Candidates must be a full time resident of the United States; work cannot be completed from outside the United States

Preferred

Bilingual, Spanish-speaking candidates strongly preferred (but not required)

Benefits

Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances)
Lyra for Lyrians; coaching and therapy services
Equity in the company through discretionary restricted stock units
Competitive time off with pay policies including vacation, sick days, and company holidays
Paid parental leave
401K retirement benefits
Monthly tech allowance
We like to spread joy throughout the year with well-being perks and activities, surprise swag, free food, regular community celebration…and more!

Company

Lyra Health

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Lyra helps companies improve access to effective mental health care for their employees.

Funding

Current Stage
Late Stage
Total Funding
$910.1M
Key Investors
Dragoneer Investment GroupCoatueAddition
2022-01-19Series F· $235M
2021-05-17Series F· $200M
2021-01-28Series E· $187M

Leadership Team

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Jennifer Schulz
Chief Executive Officer
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Sandra Beaver
Chief Financial Officer
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Company data provided by crunchbase