Provide case management and service coordination to members living with mental illness and/or substance abuse disorders
Evaluates member service needs and develops or contributes to development of care plans/service plans
Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
Supports members with primarily mental/behavioral health needs
Performs frequent home and/or other site visits
Provides and/or facilitates education to long-term care members and their families/caregivers
Provides coordination of service authorization to members and care managers for various services
Ensures appropriate referrals based on individual member needs
Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery
Requirements
Graduate from an Accredited School of Nursing
2 – 4 years of related behavioral health/psychiatric experience
RN
Registered Nurse
State Licensure and/or Compact State Licensure required
Clinical RN with 3+ years of psychological admissions/intakes
3+ years of clinical RN experience supporting members with primarily mental/behavioral health needs
Direct work experience coordinating and managing healthcare/behavioral health services
Experience in FIELD-BASED roles or work in-patient behavioral health hospital, community health, home health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred
Current or previous government-sponsored healthcare experience preferred
Strong clinical documentation and time management skills
Flexibility, resilience, and excellent interpersonal communication skills for member advocacy
Reliable transportation required
Benefits
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules