Behavioral Health Case Manager

Independent Health•Buffalo, NY

1d•$34 - $38

About The Position

The Behavioral Health Case Manager is primarily responsible for managing behavioral health benefits through the administration of quality improvement functions.

Requirements

Licensed master’s social worker (LMSW), master’s in social work (MSW), licensed mental health counselor (LMHC), licensed professional counselor (LPC), licensed family or marriage therapist (LMFT) or active registered nurse (RN) in NYS required.
Certified Case Manager (CCM) required. Candidates without CCM certification are required to obtain it within 2 years of commencing employment.
Two (2) years of experience in a behavioral health clinical and/or care coordination setting required.
Excellent knowledge base of community resources and roles of various community agencies.
Ability to use MS Excel or Access for data collection and analyze data, assess outcome measurements, and intervene appropriately preferred.
Excellent interpersonal, written, and verbal communication skills.
Proficient computer and Windows skills required, including MS Office.
Exhibit creativity, self-motivation, flexibility, and effective problem-solving skills.
Self-starter with high level of accountability and responsibility.
Ability to work flexible hours and/or overtime as needed.
Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.

Nice To Haves

Experience in a health plan/managed care setting, case management and/or quality improvement activities preferred.
Experience in health coaching and motivational interviewing techniques.
Ability to use MS Excel or Access for data collection and analyze data, assess outcome measurements, and intervene appropriately preferred.

Responsibilities

Develop a plan of care based upon providers of care clinical assessments and patients, to identified population along the continuum of care staying within their scope of case management practice and within accreditation standards and applicable regulation compliance.
Activities in one or more of these CM programs may include but not be limited to: identify eligible insured individuals from available data set(s); enrollment in applicable CM program; actively engage insured individual in CM program to achieve measurable CM goals; and discharge from CM program when appropriate.
Use appropriate screening criteria and clinical judgment to assess member needs.
Conduct assessments to identify individual needs and develop person centered care plans with goals identified during the assessment.
Monitor and evaluate effectiveness of care plan and modify plan as needed.
Coordinate with internal and external resources to meet identified needs of the members and collaborate with providers and community agencies.
Provide assistance to hospital/facility discharge planners to help coordinate post inpatient BH treatment continuity.
Collaborate with other departments such as Medical UM, Medical Case Management, and SIU for specific BH related case review, product/benefit development, claims, servicing and network as directed.
Review and provide input to policies, standard operating procedure (SOP) documents, reports and data related to BH CM programs.
Assist with the preparation of the annual program evaluations and Work Plans for the BH CM Programs.
Aid department efforts with quality improvement activities through data collection, measurement, reporting, evaluation, and evidence-based intervention development related to BH benefits and/or BH specialty providers.
Participate in identification, analysis, and evaluation of quantitative and qualitative CM program outcomes and recommend interventions for improvement and implement recommendations when appropriate.
Attend meetings as assigned.
Establish professional working relationships with other Independent Health Associates.