Perform case management telephonically and/or by home visits within the scope of licensure for members with behavioral health needs
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 Managers
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 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
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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