Behavioral Case Manager (Telephonic)

Are you an experienced Behavioral Health Case Manager looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities:

• 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.

Hours for this Position:

Monday - Friday 8am-5pm

Requirements:

• Master’s in behavioral health

• LCSW, LMHC, LMSW, LMFT, LPC, PhD, PsyD

• 3+ years of experience within a psychiatric or mental health care setting Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience

• Health insurance

• Dental insurance

• Vision insurance

• Flexible spending accounts (includes health care, dependent care mass transit reimbursement)

• Short- and long-term disability insurance

• Basic Life insurance

• Supplemental AD&D

• Supplemental life insurance

• Wellness Program

• 401(k) retirement with company match

• Employee stock purchase plan

• Vacation, Personal and Sick time

• Paid Company Holidays

• Employee Assistance Program (EAP)

• Training and Learning Opportunities

• Tuition Reimbursement/Educational Assistance

• Service Awards

• On-site fitness center or discount at local fitness centers (most locations)

• Discounts for select local and national products and services, including cell phones, computers and more

• Other amenities may be available, but vary by location

• Fun and positive work environment Interested in being considered?

If you are interested in being considered for the position, please contact Courtney Phelps at 407-478-0332 ext 232