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Behavioral Health Case Manager (RN or LCSW)

Phoenix, AZ · Healthcare
RN or LCSW Behavioral Health Case Manager – Health Plan
Phoenix, AZ

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 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. 

Behavioral Health Case Manager Background Profile:
  • Requires a valid, unrestricted state license as Registered Nurse (R.N.) with a behavioral health background, OR unrestricted state license as Licensed Clinical Social Worker (L.C.S.W.)
  • 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

443.552.7423 (CALL – TEXT – FAX)
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