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The Behavioral Health Case Manager I for Child & Adolescent will work with our youth or adolescents members diagnosed with serious emotional disturbances. Will be required for meeting with members in person as per contractual requirements. The Behavioral Health Case Manager I for Child & Adolescent is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health disorder needs.
Job Responsibility:
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
Conducts assessments to identify individual needs and develops 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
Will work with our youth or adolescents members diagnosed with serious emotional disturbances
Will be required for meeting with members in person as per contractual requirements
Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health disorder needs
Requirements:
MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing
Minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
For Government business only LAPC LAMFT (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
For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position
Nice to have:
Knowledge and working experience Medicare and Medicaid
Experience in case management is preferred
Experience working with specialty populations preferred
What we offer:
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs (unless covered by a collective bargaining agreement)