Episodic Care Manager

Piper Companies is seeking an Episodic Care Manager to join a nationally recognized health insurance organization. This is a fully remote, 6‑month contract role with strong potential for extension or permanent hire. In this position, you will support members with short‑term behavioral health or medical needs, ensuring coordinated care across all treatment settings. The team’s focus includes psychiatric and higher‑acuity populations, with particular emphasis on adolescent behavioral health and eating disorder support.

Key Responsibilities of the Episodic Care Manager:

• Manage short‑term member cases by creating care plans tailored to behavioral, medical, and social complexities.
• Collaborate with inpatient facilities, outpatient providers, and community resources to ensure smooth and timely transitions of care.
• Evaluate clinical information to determine appropriate levels of care using tools such as MCG or InterQual.
• Provide members and caregivers with clear guidance on care plans, recovery expectations, and available resources.
• Document case progress, interventions, and outcomes in electronic systems while identifying potential barriers to stabilization.

Required Qualifications of the Episodic Care Manager:

• Active clinical license such as LPN, RN, LCSW, LPC, LCPC, or equivalent (compact license accepted for RNs).
• Experience working with psychiatric populations, particularly in adolescent care or eating disorder treatment.
• Background in inpatient care, utilization management, or residential treatment settings.
• Strong ability to interpret clinical documentation and communicate effectively with multidisciplinary teams.
• Familiarity with utilization review tools like MCG or InterQual (social workers with UR experience using NCG or internal guidelines are also encouraged).

Compensation & Benefits of the Episodic Care Manager:

• Salary: $65,000–$78,000 annually (USD)
• Benefits: Medical, dental, vision, sick leave where required, and 401(k)

Keywords: Episodic Case Manager, Case Management, Behavioral Health, Medical Case Management, Care Coordination, Short‑term Case Management, High‑acuity Populations, LPN, RN, Compact RN License, LCSW, LPC, LCPC, Clinical License, Licensed Clinician, Psychiatric Care, Adolescent Behavioral Health, Eating Disorders, Mental Health Support, Residential Treatment, Inpatient Behavioral Health, Utilization Management, Utilization Review, Level of Care Assessment, MCG, InterQual, NCG, Clinical Documentation Review, Inpatient Facilities, Outpatient Providers, Community Resources, Multidisciplinary Team Collaboration, Care Transition Support, Treatment Planning, Clinical Assessment, Crisis Evaluation, Care Plan Development, Member Education, Resource Navigation, Documentation and Reporting, Barriers to Care Identification, Healthcare Communication, Remote Case Manager, Telehealth Coordination, Virtual Case Management

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