Behavioral Health Case Manager (FT, Days)

PCMH CareersTell City, IN
Onsite

About The Position

This position is part of the Rural Health Transformation Program, supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS). The role involves case management within a clinical office environment, requiring effective communication, sound judgment, attention to detail, and the ability to manage multiple priorities. The physical demands are generally light to moderate.

Requirements

  • Associate’s or bachelor’s degree in Nursing, Social Work, Behavioral Health, Human Services, or a related field from an accredited institution.
  • Active, unrestricted state licensure as a Registered Nurse (RN) or Licensed Social Worker (e.g., RN, LBSW, LMSW, or LCSW), as applicable to the role and state requirements.
  • Ability to communicate effectively.
  • Ability to exercise sound judgment.
  • Ability to maintain attention to detail.
  • Ability to manage multiple priorities in a clinical office environment.
  • Ability to perform light to moderate physical demands including sitting, standing, walking, reaching, and using standard office equipment.
  • Ability to occasionally lift, carry, push, or pull objects in accordance with organizational safety guidelines and essential job duties.

Nice To Haves

  • Equivalent combinations of education and relevant experience may be considered.
  • Previous experience in behavioral health, case management, care coordination, healthcare administration, social services, or a related clinical setting.
  • Experience working with prior authorizations, FMLA or disability documentation, insurance payers, community resources, or transitions of care.
  • Case management or behavioral health certification.

Responsibilities

  • Provide case management services in a behavioral health setting.
  • Coordinate care for patients.
  • Manage multiple priorities in a clinical office environment.
  • Communicate effectively.
  • Exercise sound judgment.
  • Maintain attention to detail.
  • Handle prior authorizations.
  • Process FMLA or disability documentation.
  • Liaise with insurance payers.
  • Connect patients with community resources.
  • Facilitate transitions of care.
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