Behavioral Health Case Manager
POSITION PURPOSE
Telephonic or in-person, coordination and management of behavioral health services for members enrolled in both Medicare and Commercial insurance plans. This role involves comprehensive assessment, evaluation, care planning, service coordination, and ongoing monitoring to ensure members receive timely, appropriate, and effective behavioral health care. The Behavioral Health Case Manager will collaborate with internal teams, external providers, family members, and community resources to support members in optimizing care and improving health outcomes. Will also receive and resolve crisis calls from plan members and provide immediate crisis intervention, risk assessment, and coordination of emergency services as needed.
About the role
Residency in or relocation to Louisiana is preferred for all positions.
Required Qualifications
- Bachelor’s degree in nursing, healthcare, or a related field OR master’s degree in social work, counseling, or behavioral health
- RN license in Louisiana can replace Bachelor's degree OR LPN license in Louisiana + 2 years of related experience can replace the bachelor’s degree
- Minimum of three years of experience in case management which includes behavioral health, behavioral health clinical practice, or behavioral health crisis intervention
- LPC, LCSW, LMFT, RN, or LPN license required
- Strong clinical assessment and critical thinking skills
- Excellent communication and interpersonal abilities
- Strong understanding of behavioral health diagnoses and treatment modalities
- Proficiency in electronic health records and case management systems
- Ability to work independently and as part of a multidisciplinary team
- Ability to make decisions based on established policies and procedures
- Comfortable working in a fast-paced, dynamic environment with rotating crisis line responsibilities
- Case Management Certification preferred but must be attained within 3 years after date of hire
Preferred Qualifications
- Experience working with Medicare and Commercial populations
- Experience in a managed care or health insurance setting
- Familiarity with CPT codes and billing practices
- Experience in crisis intervention and de-escalation techniques
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.
Additional Information
- Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
- We are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.