Jobs · OTHR

Case Mgr Behavioral Health - Remote (PA/NJ/DE)

Independence Blue Cross · Philadelphia, PA · 1 mo ago
OTHRFull-time

About the role

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. The Behavioral Health Case Manager position functions as a primary clinical resource for members living with behavioral-health related challenges. The Behavior Health Case Manager collaboratively engages members in strengths-based approaches in order to facilitate increased understanding of each member’s behavioral and physical health needs. Through this process, members gain the skills and supports to facilitate lifestyle improvement thereby enabling a holistic, person-centered approach to addressing their overall health. The Behavioral Health Case Manager provides support, guidance, and education to help members better cope with acute symptoms and make treatment decisions based on their individual preferences and needs. The Behavioral Health Case Manager facilitates the development of a care plan tailored to address the member’s identified strengths and needs. This also includes coordination and collaboration with the member’s health care team to better enhance advocacy and communication around the delivery of high quality, cost effective services including ongoing screening, assessment, treatment planning, treatment delivery and monitoring of a member’s mental and physical health conditions. In order to maximize access to care, the Behavioral Health Case Manager teaches and guides members to better navigate the behavioral and physical health care systems, providing advocacy when needed. Case Managers have a strong understanding of the behavioral change process and use motivational interviewing techniques to help the member resolve any barriers to change thereby improving adherence to evidence-based, cost-effective treatment and services.

Fully Remote: This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence’s physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

Responsibilities

  • Telephonically engages members who have a variety of behavioral health challenges to identify barriers to care related to the member’s Social Determinants of Health (SDOH).
  • Engages with members to identify strengths, needs and goals, in order to facilitate development of care plans.
  • Provides follow-up when clinically appropriate and requested by the member.
  • Serves as a liaison and support, working within the member’s health care team when needed especially when members are involved in complex behavioral health situations that often warrant changes to the member’s care plan.
  • Identifies and provides coaching

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