Case Manager - Behavioral Health

Blue Cross Blue Shield of Minnesota•Eagan, MN

2d•Remote

About The Position

The Case Manager provides telephonic support to members with behavioral health needs. The role conducts assessments, identifies gaps in care, and develops individualized care plans; coordinates referrals; connects members with community and in-network providers; and helps members understand their benefits. It supports members without providing direct clinical care. This is a full-time remote teleworking role. The Case Manager engages members by phone using motivational interviewing and therapeutic techniques, manages new cases and follow-up calls, monitors care plans and follow-up actions, and documents case information across multiple systems. The role also researches resources, coordinates with providers, participates in clinical rounds and team meetings, and prepares for client or vendor audits. It may involve addressing complex member situations in collaboration with Member Services, consulting with colleagues, completing training, contributing to specialty projects, and mentoring or shadowing new hires.

Requirements

At least 3 years of related clinical case management professional experience.
Bachelor’s degree, or an additional 2 years of relevant experience beyond the stated experience qualification in lieu of a degree.
Flexibility to work varied hours.
One of the following required licenses or credentials: Registered Nurse (RN), Licensed Marriage and Family Therapist (LMFT), Licensed Independent Clinical Social Worker (LICSW), Licensed Psychologist (LP), or Licensed Professional Clinical Counselor (LPCC).

Nice To Haves

Ability to tailor communication to varied audiences, actively listen to uncover requirements, and ensure accurate and timely information exchange.
Ability to analyze information, identify patterns and root causes, and collaborate with partners to implement practical solutions.
Ability to leverage technology to tailor communications, listen to uncover needs, analyze root causes, and collaborate on practical solutions.
Ability to organize work effectively, balance competing priorities, and manage time across multiple responsibilities and deadlines.

Responsibilities

Provide telephonic engagement and support to members with behavioral health needs, using motivational interviewing and therapeutic techniques to encourage participation.
Manage new cases and follow-up calls, providing timely and effective support.
Conduct clinical assessments, identify gaps in care, and develop and monitor individualized care plans with follow-up actions and goals.
Review member information and prepare for outreach calls; gather relevant information and update case documentation using multiple systems.
Research and coordinate referrals to providers and appropriate community and in-network resources, following up on receipt and follow-through.
Help members understand their benefits.
Participate in clinical rounds and team meetings to review cases, receive feedback, and support best practices.
Prepare and present cases during client or vendor audits, explain actions taken, and respond to inquiries.
Collaborate with Member Services to resolve privacy concerns related to family dynamics while maintaining support for members.
Consult with team members, participate in required training, and assist with specialty projects.
Mentor and provide shadowing opportunities for new hires.
Perform additional responsibilities consistent with the scope and level of the role, as assigned.