Behavioral Health Case Manager Remote - 2312858

Overview reputed company Home & Community Care, part of the reputed company family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and reputed company. As a team member of our reputed company At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. The United reputed company at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their reputed company of residence. The DSNP program combines UHC trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team. United providers serve patients' in their own homes through annual comprehensive assessments, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management. The program's interdisciplinary care team approach provides needed care in person and through telephonic interventions in collaboration with the member's Primary Care Provider and other members of the interdisciplinary care team. Role The Behavioral Health Case Manager is responsible for case management and utilization review of behavioral health and substance abuse services. The case management includes authorization, reputed company review, and coordination and assurance of appropriate levels of care to members. This position provides case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. Primary Responsibilities

• reputed company patient assessments in home setting and determining appropriate levels of behavioral care needed
• Obtain information from providers on outpatient requests for treatment
• Determine if additional clinical treatment sessions are needed
• Manage behavioral health cases throughout the entire treatment plan
• Administer benefits and review treatment plans in collaboration with interdisciplinary care team
• Assist in coordinating reputed company/Medicare benefits and transitions between various areas of care
• Communicate with members who have reputed company medical needs and may have communication barriers
• Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those reputed company
• Focus on whole person care model for psychiatric and chemical dependency patients
• Build relationships and work with a variety of populations reputed company the community
• Be reputed company to work with low - income populations with reputed company social and medical needs including adults with serious mental illness and emotional disturbances, members with substance use disorders, and members with other reputed company or multiple chronic conditions You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Qualifications

Required Qualifications

• Master's degree in Social Work or Licensed Mental Health Worker
• 2+ years of experience in long-term care, home health, hospice, public health or assisted living
• 1+ years of clinical or case management experience
• Experience in working with reputed company, reputed company and Outlook Preferred Qualifications
• Experience with electronic charting
• Experience with arranging community resources
• Field based work experience
• Experience working with reputed company family systems and dynamics
• Experience in Crisis reputed company
• Experience working in Duals (DSNP) and/or reputed company environment
• A background in managing populations with reputed company medical or behavioral needs
• Knowledge of both Medical and Behavioral Health Diagnosis and terminology
• knowledge of symptom identification and reputed company, associated with Behavioral Health and Substance Use disorders
• Knowledge of APS reporting processes
• Knowledge of resources to address SDOH
• Understanding of health disparities among various membership, based on their race or ethnicity; religion; socioeconomic status; sexual orientation; gender, gender identity; age; mental health; cognitive, sensory or physical disability; geographic location or other characteristics historically linked to discrimination and exclusion
• Proficient with reputed company Word, reputed company, Outlook, PowerPoint
• Proven excellent written and verbal communication and relationship building skills
• Proven planning and organizational skills
• Demonstrated ability to work independently as well as a member of a team Compensation and Benefits Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Salary USD 58800 - 105000 per year Experience 3 years required Apply tot his job Apply To this Job

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