Behavioral Health Case Manager II managing telephonic and in-person care for members with serious mental illness. Requires clinical license and experience in case management with a focus on psychiatric and substance use disorders.
Responsibilities
Perform case management telephonically and/or by community visits within the scope of licensure for members with serious mental illness and substance use diagnoses
Respond to more complex cases and account specific requests
Use appropriate screening, criteria, knowledge and clinical judgment to assess member needs
Conduct assessments to identify individual needs and develop specific care plan to address objectives and goals as identified during assessment
Monitor and evaluate effectiveness of care plan and modify plan as needed
Support member access to appropriate quality and cost-effective care
Coordinate with internal and external resources to meet identified needs of the members and collaborate with providers
Serve as a resource to other BH Case Mgrs
Participate in cross-functional 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 clinical experience in social work counseling with a broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
Current, active, unrestricted license such as either a RN (for RNs Must Have a Behavioral Health Certification), LCSW, LMHC, LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Indiana is required
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
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