Care Manager w / Behavior Health Experience (LVN Compact License or MA)

Care Manager with Behavioral Health Integration (BHI) Experience (LVN with a compact license or MA) - Remote Position! At Vigilance Health, we are passionate about improving lives through innovative patient engagement and population health strategies. As a trailblazer in value-based care, we empower community health centers and healthcare organizations across the country to overcome the barriers of today’s healthcare landscape. Our remote clinical care team works as an extension of our partners, delivering cutting-edge care management technologies and actionable solutions to improve patient outcomes. By blending advanced tools with a commitment to personalized care, we achieve reduced healthcare costs, better health outcomes, and enhanced patient satisfaction. Join a mission-driven team that’s revolutionizing healthcare with compassion, technology, and teamwork. Together, we’re reshaping the future of value-based care—one patient at a time. Position Overview: The Care Manager with Behavioral Health Integration (BHI) experience provides comprehensive care coordination to patients, integrating behavioral health services within the primary care setting. This role involves engaging patients to support their physical and mental health, fostering teamwork with primary care providers and behavioral health consultants, and driving improved clinical outcomes. Through motivational interviewing, care planning, and patient education, the Care Manager ensures the delivery of holistic, high-quality care that aligns with the organization’s core values. Core Values Having Fire • Demonstrates passion for supporting patients’ mental and physical health. • Takes initiative to identify and address patient needs proactively. • Maintains energy and enthusiasm in managing daily tasks and challenges. Being Driven • Strives to exceed goals related to patient engagement, care coordination, and clinical outcomes. • Continuously seeks opportunities for professional growth and skill enhancement. Being Partners • Builds trusting, collaborative relationships with patients, providers, and behavioral health consultants. • Communicates effectively to adapt to diverse patient and team needs. Building Solutions • Identifies innovative strategies to address barriers to care. • Contributes to enhancing workflows and improving patient outcomes through creative problem-solving. Being Coaches • Provides patient education on behavioral health topics and helps set SMART goals for care plans. Encourages patients to take an active role in their health journey. • Shares insights and guidance to foster a learning environment for patients and peers. Key Responsibilities • Patient Care Coordination • Conduct behavioral health assessments using tools like PHQ-9 and GAD-7 under supervision. • Collaborate with primary care providers and behavioral health consultants to develop individualized care plans. • Conduct regular follow-ups to track patient progress, address barriers, and adjust care plans. Patient Engagement and Education • Use motivational interviewing techniques to activate patients and set achievable health goals. • Educate patients on available resources and empower them to adhere to care plans. Collaboration and Communication • Act as a key contact for patients, ensuring seamless navigation of appointments and resources. • Provide timely updates to providers and behavioral health consultants. • Accurately document all patient interactions and care plans in the electronic health record (EHR). Data Tracking and Reporting • Monitor and report patient outcomes, including symptom improvements and adherence to care plans. • Support quality assurance by maintaining accurate and timely documentation. Program and Workflow Support • Assist with implementing and refining BHI workflows to optimize care delivery. • Identify gaps in services and recommend solutions for improved patient outcomes. Key Performance Indicators (KPIs) Patient Outcomes: • Improvement in PHQ-9/GAD-7 scores. • Percentage of patients with completed and documented care plans. Engagement and Retention: • Connect with 18 patients a day and / or make 60 outreach calls to patients per day • Patient retention rates in the care management program. • Number of successful patient follow-ups and interactions. Operational Metrics: • Timeliness and accuracy of documentation. • Total patient interactions completed within set timeframes. Satisfaction Metrics: • Positive patient satisfaction scores. • Feedback from team members on collaboration and communication. Qualifications • Licensed Vocational Nurse (LVN) or Medical Assistant (MA) certification required. • Experience in behavioral health and/or patient care coordination preferred. • Strong organizational, communication, and interpersonal skills. • Proficiency in electronic health records (EHR) and data tracking systems. • Bilingual (preferred, depending on patient population).

Summary

This role emphasizes a collaborative and patient-centered approach to behavioral health integrated services in care management and primary care. Success in this role will be measured by improved patient outcomes, patient and team satisfaction, and the ability to drive innovative solutions aligned with the organization’s core values Apply Job!