84 applicants

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Company

Lyra Health · 3 hours ago

Complex Care Specialist

United States

Full-time

Remote

Mid Level

$37/hr - $56/hr

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Employee BenefitsHealth Care

Culture & Values

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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 CNT, Navigator, or Health Plans

Provide feedback to leadership for continuous program improvement, including suggestions to improve client experience, operational efficiencies, or outcomes

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

LCSWEquivalent licensureManaging high-risk clinical situationsMotivational InterviewingHealth Plan proceduresBilingual (Spanish)Longitudinal case managementCrisis management

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

Self-directed clinical professional who can work independently in a remote environment and work effectively and collaboratively within a small team of dedicated clinicians

General 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 stipend

We like to spread joy throughout the year with well-being perks and activities, surprise swag, free food and snack deliveries each month, regular community celebration…and more!