Location: Arvada, CO
Description: BH Case Manager II - REMOTE (Temporary) Denver, CO Market
(Temporarily outreach is telephonic only due to the pandemic.)
Job Description:
The BH Case Mgr (CM) job progression is primarily member facing and involves complete clinical assessment.
Responsible for performing telephonic case management within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.
Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED), Maternity, Alcohol / Drug, Autism Spectrum Disorders (ASD), etc.
Additional Job Description Details
Behavioral Health Case Manager II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health, physical health and substance abuse or substance abuse disorder needs.
Top 3 must haves:
- Experience working with high acuity clients; exposure and knowledge about Severe and Persistent Mental Illness (SPMI)
- Experience working and communicating with interdisciplinary teams and external/community partners
- Highly organized team contributor with ability to manage time and problem solve
Primary duties may include, but are not limited to:
Responds to more complex cases and account specific requests.
Uses appropriate screening criteria, knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment.
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 members and collaborates with providers.
Serves as a resource to other BH Case Mgrs.
Participates in cross-functional teams, projects and initiatives.
Education:
Requires MS or MA in social work, counseling, nursing or a related behavioral health field.
Licensing:
Current active unrestricted license as an RN, LCSW, LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
Experience:
- Previous experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.
- Managed care experience required. For Government business only, LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.
- Experience in health coaching and motivational interviewing techniques preferred.
- 3- 4 years of clinical experience in social work counseling with broad range of experience with complex psychiatric, complex medical and substance abuse or substance abuse disorder treatment. or any combination of education and experience which would provide an equivalent background.
- Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.
- Experience working in a field based position.
Primary duties may include but are not limited to:
- Completes face-to-face visits with the member in the home, hospital, and other community settings, such as doctor's offices, treatment centers, etc. (Temporarily outreach is telephonic only due to the pandemic.)
- Responds to more complex cases and account specific requests.
- Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
- Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment.
- 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 members and collaborates with providers.
- Identifies members at high risk for complications and coordinates care in conjunction with the member and the health care team.
- Identifies members that would benefit from an alternative level of care or other waiver programs.
- Assists in problem-solving with providers and the health care team.
- Serves as a resource to other Case Managers.
- Participates in cross-functional teams projects and initiatives.
Anticipated work schedule:
Monday through Friday, 8:00 am - 5:00 pm
Candidates must be in the Denver area
Contact: mmabry@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
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