Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members
Provides high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder
Evaluates the needs of the member via phone or in-home visits
Recommends and/or facilitates the care plan/service plan for the best outcome
May perform telephonic, digital, home and/or other site visits outreach to assess member needs
Collaborates with resources and develops ongoing care plans for members with high level acuity
Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms
Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits

Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing
2 – 4 years of related experience
Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required
For NJ Health Plan Only: Requires a Master's degree in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required

Care Manager – Behavioral Health

About this role