Care Manager – Behavioral Health

Care Manager – Behavioral Health

Requirements

• Behavioral Health and Medical experience
• Master’s degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing
• 2 – 4 years of related experience
• Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LCSW, LMSW, LMFT, LMHC, LPC and RN with BH experience)

Responsibilities

• Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members
• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome
• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care
• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team
• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms
• Facilitates care coordination and collaborates with appropriate providers or specialists
• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members
• Performs other duties as assigned
• Complies with all policies and standards

Preferred Qualifications

No preferred qualifications provided.