[Hiring] Complex Care Specialist @Lyra Health

Role Description

As a Complex Care Specialist for our Complex Care program, you’ll be doing the important, meaningful work of assessing client clinical needs for higher levels of care, providing in-the-moment phone support to clients with complex behavioral health issues, ensuring client safety, and navigating clients into high quality, evidence-based facilities and programs. This position does not involve providing in-person services or therapy, but instead focuses on supporting clients in connecting to care, exclusively by phone and email, providing longitudinal case management support.

This role may be a good fit if you are dedicated to helping clients with the most complex and high-risk needs get the support they need to successfully access care and remain engaged in life-changing treatment. If you are curious, open to feedback, and adapt quickly to new protocols, we encourage you to apply!

You must be able to work the following shift:

• Monday - Friday: 9:00am - 5:30pm PT

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.

Qualifications

• Master’s degree in clinical social work or equivalent; LCSW or equivalent independent clinical licensure is required (e.g., LMFT, LPC, LPCC, etc.).
• 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 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.
• Must be a full-time resident of the United States; work cannot be completed from outside the United States.
• Must be Bilingual, Spanish-speaking.

Requirements

• $42.45 - $42.45 an hour.
• As a full-time Bilingual Spanish Speaking - Complex Care Specialist, you will be employed by Lyra Health, Inc. The anticipated base rate for this full-time position is $42.45 per hour.
• The base rate is determined by role and level, and the base rate will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location.
• The base rate is only one part of an employee’s total compensation package at Lyra.

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.
• Well-being perks and activities, surprise swag, regular community celebration…and more!