Behavioral Case Manager
Location: San Rafael
Posted on: September 12, 2019
Behavioral Case Manager Position Purpose: Perform duties related to
the day to day operations of the Integrated Case Management
functions to include working with members identified as high risk
to identify needs and goals to achieve empowerment and improved
quality of life for both behavioral and physical health issues.
Assess members' current functional level and, in collaboration with
the member, develop and monitor the Case Management Care Plan,
monitor quality of care; assisting with discharge planning,
participating in special clinical projects and communicate with
departmental and plan administrative staff to facilitate daily
operations of the Integrated Case Management functions. Collaborate
with both medical and behavioral providers to ensure optimal care
for members. - Work telephonically with patients identified as high
risk, for both behavioral and physical health issues, and their
providers to identify needs, set goals and implement action steps
towards achieving goals. Empower patients to help them improve
their quality of life and ensure an integrated approach to address
complex issues. - Understand and comply with NCQA guidelines and
HEDIS measures. - Comply with established referral,
pre-certification and authorization policies, procedures and
processes by related Medical Management staff.
Education/Experience: Master's degree in behavioral health and an
unrestricted license as a LCSW, LMFT or LPC, or a PhD, PsyD or RN.
3+ years of case and/or utilization management experience.
Experience in psychiatric and medical health care settings. Working
knowledge of mental health community resources.
License/Certification: Unrestricted license as a LCSW, LMHC, LMSW
LMFT, LPC, PhD, PsyD or RN license in applicable state. Centene is
an equal opportunity employer that is committed to diversity, and
values the ways in which we are different. All qualified applicants
will receive consideration for employment without regard to race,
color, religion, sex, sexual orientation, gender identity, national
origin, disability, veteran status, or other characteristic
protected by applicable law. Clinical & Nursing USA-California-San
Rafael Envolve People Care Full-time
Keywords: Centene, South San Francisco , Behavioral Case Manager, Executive , San Rafael, California
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