Behavioral Health Case Manager II

About the role

This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Position may require 3% travel throughout the year.

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
• Monitors and evaluates effectiveness of care plan and modifies plan as needed
• 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
• Serves as a resource to other BH Case Mgrs
• Participates in cross-functional teams projects and initiatives

Qualifications

• 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
• Current active unrestricted license such as RN LCSW LMHC LICSW 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
• For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply

Skills

• Experience in health coaching and motivational interviewing techniques preferred