Behavioral Health Case Manager

Location: Hilo, HI
Date Posted: 07-05-2018
CareNational
Behavioral Health Case Manager – Health Plan
Honolulu, HI

Requires a valid, unrestricted state license as one of the following:
  • Registered Nurse (RN) with a behavioral health background
  • Licensed Bachelor Social Worker (LBSW), Licensed Social Worker (LSW), or Licensed Clinical Social Worker (LCSW).
  • Licensed Mental Health Professional (LMHP)
  • Licensed Marriage and Family Therapist (LMFT)
  • Licensed Clinical Psychologist (LCP)
  • Advanced Practice Registered Nurse (APRN) with background as Acute Care Nurse Practitioner (ACNP-BC)
Behavioral Health Case Manager Job Summary:
 
  • Assesses, plans, implements, monitors and evaluates options and services to meet complex psychosocial health needs of inpatient and outpatient members. Manages a caseload in compliance with contractual obligations and WellCare standards.
  • Conducts comprehensive member assessments through root cause analysis based on referred member's needs and benefit plan eligibility, and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs.
  • Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Works towards achievement of optimal clinical and resource outcomes.
  • Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost-effective care. Coordinates with internal and external resources to meet identified needs of the member's care plan and collaborates with providers.
  • Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Provides clinical consultation to physicians, professional staff and other teams members/supervisors to provide optimal quality patient care and effective operations.
  • Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address medical needs. Reviews benefits options, researches community resources, trains/creates behavioral routines and enables members to be active participants in their own healthcare.
  • Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services.
  • Assists in obtaining benefits for members through community resources when benefits are exhausted or not available.
  • Monitors the effect of medications, provides medication administration and education as needed under guidance of the Psychiatrist. Provides education and clinical care for medical conditions and assists the Psychiatrist with member adherence to medications.
 

Behavioral Health Case Manager Background Profile:
  • Master's Degree in Social Work, Psychology, Counseling, Rehabilitation, or other relevant field that provides a foundation to receive a license as required of the position is required
  • Requires a valid, unrestricted state license as one of the following:
    • Registered Nurse (RN) with a behavioral health background
    • Licensed Bachelor Social Worker (LBSW), Licensed Social Worker (LSW), or Licensed Clinical Social Worker (LCSW).
    • Licensed Mental Health Professional (LMHP)
    • Licensed Marriage and Family Therapist (LMFT)
    • Licensed Clinical Psychologist (LCP)
    • Advanced Practice Registered Nurse (APRN) with background as Acute Care Nurse Practitioner (ACNP-BC)
  • Requires 2-3 years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning.
  • At least 1 year of experience in case management as a licensed professional.
  • Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs is required
  • Prefer Behavioral Health / Mental Health Case Management experience from a Health Plan, IPA, HMO, or other Managed Care setting.
  • Intermediate computer literacy (MS Office) and typing skills are necessary.
  • Strong oral and written communication skills; ability to interact within all levels of the organization as well as with external contacts.
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
  •  Bilingual skills (Spanish/English) is preferred

#CLINICAL
 
Erik Berg
SEARCH CONSULTANT
CareNational
erik@carenational.com
443.470.8240 (CALL – TEXT – FAX)
Get Informed with CareNational.tv
Managed Care News and more!
CareNational.com
Sign-Up for Job Alerts
 
or
this job portal is powered by CATS