Perform case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse disorder 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
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
Serve as a resource to other Behavioral Health Case Managers
Participate 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
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
Clinic Manager overseeing daily operations and patient care at Medcor's occupational health clinic. Collaborating with key stakeholders to ensure effective clinic workflows and logistics.
Clinic Manager overseeing operations in a worksite health & wellness clinic for Medcor. Responsible for patient care and collaborative health service functions in a team environment.
Manager overseeing operational aspects of laboratory services at Children’s Healthcare of Atlanta. Ensuring quality service, promoting lean work culture, and collaborating with leadership team.
Nutrition Manager overseeing dietary services and meal planning for ERC Pathlight locations. Leading a team of dietitians in a supportive healthcare environment treating eating disorders.
DAS Field Manager overseeing installation projects for Distributed Antenna Systems. Ensuring quality, safety, and project management in customer locations across Phoenix and surrounding areas.
Spa Manager responsible for managing a luxury hotel's SPA operations in Saint - Tropez. Tasks include budget management, team oversight, and client services.
Assistant Store Manager handling leasing and operations at SmartStop Self Storage in Woodlands, TX. Ensuring customer satisfaction and managing on - site projects during business hours.
RN Care Manager performing utilization management and discharge planning for acute care patients at Kent Hospital. Collaborating with healthcare teams to facilitate timely patient transitions and discharges.
RN Care Manager utilizing nursing skills for patient care coordination. Interacting with healthcare teams to ensure quality care and patient outcomes at Women & Infants Hospital.
Clinical Team Manager overseeing patient care services in home health at Elara Caring. Ensuring quality patient care and team development while collaborating with healthcare professionals.