Behavioral Health Case Manager- Care at Home- Jackson, MS
About The Position
The Behavioral Health Case Manager provides case management and utilization review for behavioral health and substance abuse services within the Care at Home Dual Special Needs Plan program. The role reviews and evaluates inpatient and outpatient behavioral health treatment for medical necessity, emergency status, and quality of care, and coordinates appropriate levels of care for patients. The Care at Home program delivers integrated, longitudinal care to beneficiaries in their homes. The case manager works with an interdisciplinary care team and community-based health professionals to coordinate care, benefits, and transitions across settings. The position includes home-based patient assessments and ongoing coordination for people with complex medical or behavioral health needs.
Requirements
- Master’s degree in Social Work or Licensed Mental Health Worker.
- At least 2 years of experience in long-term care, home health, hospice, public health, or assisted living.
- At least 1 year of clinical or case management experience.
- Experience working with MS Word, Excel, and Outlook.
Nice To Haves
- Background managing populations with complex medical or behavioral needs.
- Experience with electronic charting.
- Experience arranging community resources.
- Prior field-based work experience.
- Knowledge of medical and behavioral health diagnoses and terminology.
- Knowledge of symptom identification and intervention related to behavioral health and substance use disorders.
- Knowledge of APS reporting processes.
- Experience working with complex family systems and dynamics.
- Knowledge of resources to address social determinants of health (SDOH).
- Experience in crisis intervention.
- Understanding of health disparities among diverse populations and characteristics historically linked to discrimination and exclusion.
- Experience working in a Duals (DSNP) and/or Medicaid environment.
- Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint.
- Excellent written and verbal communication and relationship-building skills.
- Planning and organizational skills.
- Ability to work independently and as a member of a team.
Responsibilities
- Assess patients in home settings and determine appropriate levels of behavioral health care.
- Obtain information from providers regarding outpatient treatment requests.
- Determine whether additional clinical treatment sessions are needed.
- Manage behavioral health cases throughout the treatment plan.
- Administer benefits and review treatment plans in collaboration with the interdisciplinary care team.
- Help coordinate Medicaid and Medicare benefits and transitions between areas of care.
- Communicate with patients who have complex medical needs and may face communication barriers.
- Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers.
- Support whole-person care for psychiatric and chemical dependency patients.
- Build relationships and work with a variety of populations in the community.
- Review and evaluate inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care.
- Coordinate and help ensure appropriate levels of care for patients.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution, subject to eligibility requirements.
- $7,500 sign-on bonus for external candidates.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
