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The Behavioral Health Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. The Behavioral Health Case Manager I will work with our member population with serious mental illness and substance use disorder and could be required for meeting with members in person as per contractual requirements or as requested by the member.
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
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 LPC (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in Virginia is required
Nice to have:
Knowledge and working experience in Medicare and Medicaid is strongly preferred
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 preferred
Experience working with specialty populations preferred
Prior experience working with the Community Services Board (CSB), community mental health agency and/or ARTS facility is strongly preferred
What we offer:
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs (unless covered by a collective bargaining agreement)
Medical, dental, vision, short and long term disability benefits