Case Manager, Behavioral Health

About the role

This position provides support to patients, their families, and physicians in addressing behavioral health and social concerns; educates and empowers patients and families to make informed personal health care decisions; and facilitates communication between patient, physician, health plan and community.

Responsibilities

• Ensures all activities are member-focused and individualized, resulting in personalized attention to each patient’s unique needs.
• Identifies interventions and resources to assist members in reaching personal health related goals.
• Identifies patterns and episodes of care that are predictive of future needs and services.
• Integrates clinical and psychosocial information for case identification and individual patient assessment to develop action-oriented and time-specific planning and implementation of appropriate interventions.
• Facilitates integration of patient care by encouraging effective communications between patients, families, providers, health plan and care system programs, and community-based services.
• Adheres to policy and procedure in daily activities.
• Captures and reports member outcomes to behavioral health leadership according to defined process.
• Identifies and promptly reports potentially adverse situations to department leadership.
• Identifies and promptly reports high cost cases for reinsurance.
• Maintains confidentiality of information in accordance with department and corporate policies.
• Establishes and maintains good working relationships within the Behavioral Health Improvement and Operations Department, with other HealthPartners Departments, and with other health team participants.
• Supports other team members in achieving patient centered goals.
• Assists supervisor in maintaining a cohesive team by contributing to a collaborative, respectful, and diverse environment.
• Participates in and contributes to appropriate departmental and/or organizational meetings.
• Acts as a liaison between internal customers, Marketing, Sales, Claims and Member Services to resolve systems/process issues.
• Maintains knowledge of and effectively uses automated applications and systems.
• Maintains maximum individual productivity through proficient use of automated systems.
• Participates in ongoing independent study and education-related professional activities to maintain and increase knowledge in the areas of case management, patient care services, and benefit packages for development of effective case management skills.
• Demonstrates responsiveness to and appreciation of constructive feedback and recommendations for personal growth and development.
• Maintains current, active Minnesota licensure.

Qualifications

• Licensed in Minnesota as LICSW, RN or Psychologist, Masters degree preferred.
• Minimum of 3 years clinical practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical knowledge.
• Demonstrated effective, clinical judgement and skills.
• Demonstrated skill and experience in effectively collaborating with care team members, using a high level of expertise in written, oral and interpersonal communication.
• Demonstrated working knowledge of QI, UM, benefit plans fiscal management, and various payment methodologies preferred.
• Understanding of healthcare and/or HMO industry.
• Demonstrated skill in effective use and management of automated medical management systems.
• Demonstrated flexibility, organization, and appropriate decision-making under challenging situations.
• Ability to organize and prioritize multiple assignments within workload.
• Ability to deal with change and ambiguity.

Preferred Qualifications

• Experience delivering in-person case management through ACT (Assertive Community Treatment) and/or TCM (Targeted Case Management).
• Willingness to provide in-person case management through HealthPartners.

Benefits

Designed To Support Your Total Health

• Comprehensive health benefits
• Time off
• Retail retirement planning
• Continuous learning opportunities