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The BH Case Manager II will be responsible for performing case management telephonically and/or by visits 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.
Job Responsibility:
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
Requirements:
MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing
Minimum of 3 years of 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, 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
Nice to have:
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
Managed care experience
Experience in health coaching and motivational interviewing techniques
Experience working with children
What we offer:
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Merit increases
Paid holidays
Paid Time Off
Medical, dental, vision, short and long term disability benefits