Responds to more complex cases and account-specific requests
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
Conducts assessments to identify individual needs and develops specific care plans
Monitors and evaluates effectiveness of care plans and modifies plans as needed
Supports member access to appropriate quality and cost-effective care
Coordinates with internal and external resources to meet identified member needs
Serves as a resource to other BH Case Managers
Participates in cross-functional teams, projects, and initiatives
Requirements
Requires MA/MS in social work counseling or a related behavioral health field, or a degree in nursing
minimum of 3 years of clinical experience in social work counseling with a broad range of experience with complex psychiatric and substance abuse treatment
Current active unrestricted license such as RN, LCSW, LMHC, LICSW, LPC, LMFT, LMSW, or Clinical Psychologist
Previous experience in case management and telephonic and/or in-person coaching with members
Managed care experience required
Experience with serious mental illness and/or substance abuse disorder is strongly preferred