performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral and mental health needs
uses appropriate screening criteria knowledge and clinical judgment to assess member needs
conducts assessments to identify individual needs and develops 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.

Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing
minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment
Requires a current active unrestricted license such as RN, LCSW, LICSW, LMHC, LPC, and LMFT or clinical psychologist from the state in which you reside
Experience in case management and coaching with members with a broad range of complex psychiatric/medical disorders is preferred.
3+ years of experience working with children ages 20 years and under is strongly preferred
Knowledge and experience in children’s health and BH services, HCBS, EBPs and social service programs.

Behavioral Health Case Manager I

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