CrawlJobs Logo

Behavioral Health Case Manager

kansashealthsystem.com Logo

The University of Kansas Health System

Location Icon

Location:
United States , Kansas City

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

The Behavioral Health Case Manager is responsible to provide care/service safely and efficiently for a full range of services to patients of all ages and their families. Primary role is to collaborate, communicate and facilitate coordination of services during and post-hospitalization as established by the behavioral health care team and executed by the case manager.

Job Responsibility:

  • Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice
  • Initiates and participates in family conferences to determine psychosocial and discharge planning needs
  • Completes psychosocial assessments of patient/family situations
  • Utilizes social work assessment and input from other team members to formulate realistic recommendations for social work action plan
  • Locates community resources and connects patient with resources
  • Assists in determining financial concerns including insurance and assists in application for social security benefits
  • Responsible for understanding various State Waivers, qualifications for each waiver and how to assist patients
  • Connects patient with Community Mental Health or other agencies or private providers
  • Coordinates community placement for appropriate post-hospital discharge planning and coordination
  • Advocates on behalf of patients and caregivers for identification and access to services
  • Documents appropriate information in the patient’s medical record
  • Contributes to the financial viability of hospitals
  • Works in partnership with the treatment team to ensure timely patient discharge
  • Utilizes established procedures and appropriate resources in working with third party payors
  • Participates in the case management activities at assigned site/service
  • Demonstrates flexibility and teamwork among case management staff members
  • Assists peers in the event of fluctuating census
  • Provides coverage to other services as needed
  • Participates in interdisciplinary team meetings as needed

Requirements:

  • Master's Degree
  • Master’s level Licensure with the Behavioral Sciences Regulatory Board as one of the following: Licensed Professional Counselor (KS), Licensed Master Social Worker (KS), Licensed Marriage and Family Therapist (KS)
  • State of Kansas Social Work license
  • Ability to proficiently read and document in electronic medical record

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Behavioral Health Case Manager

Case Manager, Registered Nurse

Remote case manager position working intensely as a telephonic case manager with...
Location
Location
United States , Remote
Salary
Salary:
54095.00 - 155538.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 5+ years’ experience as a Registered Nurse
  • 1+ year of experience in a hospital setting
  • Active, unrestricted RN license in state of residence
  • Willingness to receive multi-state/compact privileges
  • 1+ years' experience documenting electronically using a keyboard
  • 1+ years' current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/Obstetrics experience
Job Responsibility
Job Responsibility
  • Work as a telephonic case manager with patients and their care team
  • Application and/or interpretation of applicable criteria and clinical guidelines
  • Assess benefits and/or member's needs to ensure appropriate administration of benefits
  • Incorporate strategies designed to reduce risk factors and barriers
  • Address complex health and social indicators which impact care planning
  • Consult with supervisor and others in overcoming barriers
  • Utilize case management processes in compliance with regulatory requirements
  • Utilize motivational interviewing skills for member engagement
  • Identify and escalate member's needs appropriately
  • Actively reach out to members to collaborate/guide their care
What we offer
What we offer
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation programs
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Fulltime
Read More
Arrow Right

Behavioral Health Medical Director

The Behavioral Health (BH) Medical Director leverages clinical expertise to prov...
Location
Location
United States
Salary
Salary:
189600.00 - 237000.00 USD / Year
personifyhealth.com Logo
Personify Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • MD or DO degree and 5+ years of direct clinical patient care experience post residency or fellowship including behavioral health environments
  • Current and ongoing Board Certification in psychiatry by the American Board of Psychiatry and Neurology (ABPN) required
  • Additional Board Certification in Child and Adolescent Psychiatry or Addiction Medicine
  • A current and unrestricted license in the state of California and willing to obtain additional license(s)
  • No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements
  • Minimum 5 years of Utilization Review or Hospital experience required
  • Minimum 3 years of compliance related experience preferred
  • Managed Care experience preferred in utilization review and case management
  • Expertise in behavioral health case management, utilization review and telehealth delivery
  • Ability to design and evaluate behavioral health programs, integrating evidence-based practices and holistic wellbeing approaches
Job Responsibility
Job Responsibility
  • Oversee and participate in behavioral health case management, including utilization review, telephonic care, and urgent response coordination for behavioral health and substance use disorder needs
  • Conduct reviews for medical necessity for prior authorization, continued stay, and post-service claims, applying medical policy, guidelines, and current research
  • Integrate behavioral health screening and interventions within physical health case management programs, utilizing standardized tools (e.g., PHQ2, PHQ9) and ensuring appropriate referrals
  • Support and monitor virtual behavioral health services, ensuring access, privacy, and continuity of care for all age groups, including children, teens, and adults
  • Supervise and provide clinical oversight for residential and outpatient behavioral health programs, including partial hospitalization and intensive outpatient services, with an emphasis on family engagement and comprehensive discharge planning
  • Lead the development and implementation of comprehensive behavioral health strategies, including program design, staff education, and quality improvement initiatives
  • Maintain compliance with national guidelines (e.g., MCG, InterQual, specialty college recommendations) and regulatory requirements (federal, state, ERISA) specific to behavioral health
  • Oversee the negotiation and implementation of cost management strategies to affect quality outcomes, reflecting data in monthly case management reviews
  • Participate in grievance and appeals processes, including escalated behavioral health issues
  • Collaborate with the VP of Care Management to establish work procedures and processes that support company and departmental standards, procedures, and strategic directives
What we offer
What we offer
  • Comprehensive medical and dental coverage through our own health solutions
  • Mental health support and wellness programs designed by experts who get it
  • Flexible work arrangements that fit your life
  • Retirement planning support to help you build real wealth for the future
  • Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
  • Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
  • Professional development opportunities and clear career progression paths
  • Mentorship from industry leaders who want to see you succeed
  • Learning budget to invest in skills that matter to your future
  • Unlimited PTO policy
  • Parttime
Read More
Arrow Right
New

Integrated Care Manager - Remote AZ

Location
Location
United States of America , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
  • Maintain complete and accurate records per department policy
  • Demonstrate ability to apply plan policies and procedures effectively
  • Fulltime
Read More
Arrow Right

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN.
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC.)
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan.
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis.
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc.
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests.
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director.
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements.
  • Maintain complete and accurate records per department policy.
  • Demonstrate ability to apply plan policies and procedures effectively.
  • Fulltime
Read More
Arrow Right

Integrated Care Manager - Adult

Responsible for promoting continuity of care through a collaborative process tha...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
  • Maintain complete and accurate records per department policy
  • Demonstrate ability to apply plan policies and procedures effectively
  • Fulltime
Read More
Arrow Right

Worklife Resource Consultant - Medicare

The Worklife Resource Consultant is part of the Worklife Team and provides educa...
Location
Location
United States , Remote
Salary
Salary:
21.10 - 49.08 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 1+ year(s) of experience working with the elderly and/or adults with disability populations in a capacity that specifically includes completing resource needs assessments, educating, researching and referring to appropriate community resources
  • 1+ year(s) experience in social work, social services, or case management field
  • Private, confidential workspace free from distractions
  • professional, camera-ready work environment available at all times
  • Excellent verbal and written communication skills
  • Reliable wired internet connection (minimum 400 Mbps download, 10-20 Mbps upload)
  • no DSL or cellular internet
  • Comfortable conducting video chats, virtual calls and using digital communication tools
  • Bachelor's degree required in Social Work or a social services/health related field
Job Responsibility
Job Responsibility
  • Provides education about community resources
  • Conducts resource needs assessment
  • Provides community and/or national referrals for childcare, elder/adult care, and basic/everyday needs
  • Provides Worklife consultation and informational services to members and plan sponsors
  • Assesses resource needs, proposes options and research/screens potential community service providers
  • Provides resource referrals and educates individuals on how to use resources
  • Documents member interactions and research/case fulfillment
  • Works in inbound and outbound call center environment
  • Completes outbound phone calls and research
  • Staffs an online chat platform
What we offer
What we offer
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Fulltime
Read More
Arrow Right

Manager - Integrated Care

Responsible for developing and managing the day to day processes required to pro...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 years of experience in full-time equivalent of direct clinical care to the consumer
  • 1 year of experience in a supervisory role
  • Associate’s Degree in general field of study or Post High School Nursing Diploma
  • or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D.
  • Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse (RN)
  • or independent license in the behavioral health profession such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.)
  • Once they have directly supervised the integrated care process within (3) years with the organization, hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
  • Intermediate skill in use of office equipment including copier, fax machine, scanner and telephones
  • Intermediate PC proficiency
Job Responsibility
Job Responsibility
  • Manage and oversee all staff activities related to the development and delivery of health improvement/management programs for members with both complex and chronic health care needs
  • Promotes the integrated, whole-person approach to a continuum of care
  • Provide oversight and recommendations on the cases being managed through any of the programs
  • Direct all activities required to maintain accreditation for Case and Utilization Management
  • Responsible for monitoring and reporting department and program performance measures including IRR
  • Evaluate, interpret, and negotiate applicable benefit and regulatory requirements
  • Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person
  • Responsible for the review, update and accuracy of documentation, computer files, policies and procedures related to the departmental goals and objectives
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and implement operational changes and process improvement
  • Keep status of unit current in accordance with service standards, systems, procedures, forms and manuals through staff meetings, verbal and written communications
  • Fulltime
Read More
Arrow Right

Behavioral Health Medical Director

The Behavioral Health Medical Administrator (Medical Director) directs, leads, a...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 3 years of experience in a clinical setting
  • 1 year of experience in physician leadership role, including quality review, utilization review, population health and other managed care functions
  • Medical Degree
  • Active, current, and unrestricted license to practice medicine in the State of Arizona (a state in the United States)
  • Board Certification in general psychiatry, or adult and child/adolescent psychiatry, through the American Board of Psychiatry and Neurology
  • Requires knowledge and skills in state (Arizona) and federal behavioral health regulations, requirements for publicly funded services, delivery, operations, and licensure.
  • Knowledge of managed care concepts and practices
  • and emerging and best practices for adult & children’s integrated care programs.
  • Ability to use electronic word processing, email, and electronic database resources.
  • Excellent customer service and oral/written communication skills
Job Responsibility
Job Responsibility
  • Directs, leads, and provides professional oversight for medical management and population health activities related to behavioral health utilization management, case and care management, disease management, performance improvement, and quality management activities.
  • Supports collaborative relationships with physicians and hospitals to achieve mutually acceptable business goals in compliance with AHCCCS and CMS regulations.
  • Provides physician leadership and medical oversight in the design, implementation and review of clinical services, best practices, care management, medical management and quality management.
  • Serves as liaison between the Medicaid Business Segment and medical and behavioral health practitioners at stakeholder and provider agencies.
  • Participates in aggregate and member-level clinical analyses for quality management, quality of care concerns, peer review, medical management, and utilization review processes.
  • Reviews and authorizes requests by providers and treatment coordinators for services or programs requiring prior authorization.
  • Participates in the design and implementation of best practices, clinical standards, protocols, and treatment guidelines.
  • Participates in credentialing, re-credentialing and competency processes for providers.
  • Assists care managers with care management of high risk/high-cost members.
  • Participates as a member or chair of internal and external committees.
  • Parttime
Read More
Arrow Right