Lyrahealth2mo ago

Clinical Case Manager

Mumbai,MumbaiFull-timemid

OtherHealthcareCase ManagerClinical Case ManagerHealthcare Clinical

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Overview

About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of…

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customer-success

About Lyra

Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions.

The primary purpose of this role is to provide clinical case review and consultation to our in-house clinicians as well as partner provider network to ensure that evidence based, effective and professional care is provided to Lyra India service users.

Candidates MUST be based in Maharashtra.

Serve as the primary first point of contact for clinicians (internal as well as affiliates)

Monitor cases throughout the duration of the case including the follow-up of relevant documentation from all parties (affiliate, client, etc. where appropriate).

Provide consultation and support to clinicians/ providers on treatment plan and delivering evidence-based care.

Accurately understand clinical needs to evaluate whether care should be provided within a structured, short-term framework and that there is an workplace focus (when appropriate) so that the employee improves level of functioning and productivity within the workplace (work impact).

Evaluate the appropriateness of short-term counseling versus higher-acuity care pathways based on the case flowMonitor and review comprehensive clinical complex or risk cases to manage potential self-harm, ideation, or risk to others, adhering strictly to Lyra’s risk protocolsManage emergency interventions and coordinate with the internal senior clinical lead when high-risk situations are identified.

Provide high-quality, professional supervision and discussion sessions to clinicians within a structured, short-term framework.

Ensuring case presentations(bi-weekly or monthly) by clinicians (internal as well as affiliates) for clinical knowledge enhancement, sharing best practices and guidelines, strengthening documentation and presentation skills. Assign presenters in advance (e.g., 3-month rolling schedule)

Maintain strict checking of accurate, contemporaneous clinical notes for every session, meeting the legal and professional standards of the Indian healthcare landscape.

Monitor client progress through regular case discussions and adjust treatment plans or escalate to the Clinical Lead for complex review as necessary.

Monitor and review data quality (including clinical problems & sessions, work impact, CORE-10, satisfaction)Ensure overall levels of satisfaction with service delivered

Utilize evidence-based interventions (such as CBT or solution-focused therapy) to address client queries and specific mental health concerns in case discussions or presentations

Conduct strict checks for accurate capturing of all vital clinical information—including demographics, presenting concerns, and risk status—into the database at the point of entry.

Ensure all data points required for case management (such as CORE-10 scores, session counts, and work impact metrics) are logged with high precisionHandle all sensitive clinical data with the highest level of confidentiality, adhering to global data protection standards and local regulations.

Proactively identify gaps in current workflows and take the initiative to propose solutions that enhance operational efficiency.

Ensure partner provider network counselors adhere to all clinical protocols including risk management, standards, procedures, and service level agreements.

Build and maintain training materials for affiliates on clinical protocols, risk management, cross border referrals, case referrals, etc.

Collaborate with Lyra provider teams to ensure a seamless experience

Identify customer specific or other themes and trends from case management and communicate this information to operations leadership and client services/customer success as appropriate for greater strategic management of the client contract and value add initiatives for the client company.

Monitor rates of no shows & late cancellations and report trends to operations leadership.

Masters in Clinical/ Counseling/ Organizational/ Industrial Psychology with a minimum of 9+ years of relevant core experience in counseling and case management (excluding any internship).

RCI registration is desirable.

Strong preference for candidates with a background and extensive working experience in the Employee Assistance Program (EAP) or workplace mental health field with significant exposure to case managementProficiency in Google Suite and CRM systems is preferred.

Working Hours: 40 hours per week(11:00 to 19:00 or 12:00 to 20:00 or 13:00 to 21:00 IST)

Schedule: 5 days a weekAfter hours, supervision will be required to be executed when needed.

Clinical discussion will be weekly or bi-weekly with the reporting manager.