Behavioral Health Care Manager II managing complex behavioral health cases virtually in Virginia. Collaborating with members and providers to ensure quality care and support.
Responsibilities
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
Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives
Requirements
Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing
minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment
Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (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
Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required
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