Behavioral Case Mgr
Company: Envolve People Care
Location: San Rafael
Posted on: September 11, 2020
Job Description: Position Purpose: * $3,500 Sign on Bonus *
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.
Keywords: Envolve People Care, San Rafael , Behavioral Case Mgr, Other , San Rafael, California
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