Behavioral Health Case Manager II

About the role

Join Carelon's growing Behavioral Health Community Connect team supporting the Health Stress Program across Washington and Nevada Medicaid markets. In this virtual role, you'll provide whole-person care by conducting behavioral health assessments, developing care plans, coordinating services, and connecting members with community resources to improve health outcomes.

Responsibilities

• Responds to more complex cases and account specific requests.
• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
• Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment.
• Maintains and evaluates the effectiveness of care plan and modifies plan as needed.
• Serves as a resource to other BH Case Mgrs.
• Supports member access to appropriate quality and cost-effective care.
• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.
• Participates in cross-functional teams projects and initiatives.

Requirements

• Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and 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; or any combination of education and experience which would provide an equivalent background.
• A current active unrestricted license such as RN, LCSW, LPC (as allowed by applicable state laws) LMFT, LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
• 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.
• Managed care experience required.

Preferred Skills, Capabilities And Experiences

• Active RN license is highly preferred.
• Licensure for Washington and/or Nevada is necessary, multi-state preferred.
• Behavioral Health Case Management and Managed Care experience preferred.
• Medicaid and hospital/inpatient case management experience.
• Experience with high-risk, high-utilization, housing insecure, or food insecure populations preferred.
• Knowledge of social determinants of health and whole person care.
• Community resource coordination and telephonic care management.
• Health coaching and motivational interviewing skills.
• Strong clinical assessment, care planning, and interdisciplinary collaboration.
• Excellent communication skills with the ability to work independently in a virtual environment.