Behavioral Health Case Manager (Re-entry) - Paducah, KY

Primary Responsibilities

• Provide a complete continuum of quality care through close communication with members via phone, virtual, or in-person interaction
• Aid members with the transition from a carceral facility back to the community via Health Assessment and Care Planning
• Partner with care team (correctional facilities, community providers, internal staff) to complete care plans and warm handoff
• Improve health and self-management of conditions
• Reduce inappropriate emergency department utilization, preventable hospital readmissions, and reduction in recidivism
• Provide member education on Medicaid benefits, treatment options, and comprehensive services
• May participate in community events related to scope of work
• Maintain compliance with NCQA Population Health Management Standards
• Maintain compliance with state-specific contractual requirements related to the delivery of care management

Required Qualifications

• You must have 1 of the following licenses:
• Independently Licensed Mental Health Clinician with a Master's degree in psychology, social work, counseling or marriage, or family counseling, or related mental health discipline
• A registered nurse (RN) who is certified by the American Nurses Credentialing Center (a subsidiary of the American Nurses Association) as a psychiatric nurse or mental health clinical nurse specialist
• A registered nurse (RN) who has a master's degree in nursing with a specialization in psychiatric/mental health and 2 years of supervised clinical experience and is licensed to practice as a psychiatric or mental health nurse if required by the state of practice.
• Licenses must be independent, active, and unrestricted in the state of Kentucky
• 2+ years of post-licensure experience in a related mental health environment
• 1+ years of direct experience with justice-involved populations
• Proficient computer skills and good working knowledge of Microsoft Word and Outlook
• Access to high-speed internet and a dedicated, distraction-free workspace at home
• Driver's license, access to reliable transportation and the ability to travel within designated service delivery area

Preferred Qualifications

• Case Management experience
• Carceral facility experience
• Community Mental Health experience
• Experience working with the Medicaid population
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Experience working with low-income populations
• Experience working with either Medicaid or Medicare funded programs
• Medical / Behavioral setting experience (i.e., hospital, managed care organization, or joint medical / behavioral outpatient practice)
• Dual diagnosis experience with mental health and substance abuse