Clinical Case Manager Behavioral Health - Monmouth County

About the position

This is a work from home flexible position with up to 75% travel requirements throughout Monmouth, Ocean and surrounding counties, New Jersey. Standard working hours Monday - Friday 8-5 pm EST. The Clinical Case Manager BH is responsible for conducting face to face visits using comprehensive assessments of members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face to face assessments with non-MLTSS members to evaluate the medical needs of the member to facilitate the member's overall wellness and help them obtain the services they need to thrive by addressing requests for services such as adult medical daycare, pediatric medical daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment. Successful completion of company sponsored NJ Choice Certification is requirement for continued employment. The care manager is responsible to coordinate and collaborate care with member/authorized representative, PCP, and any other care team participant. The care manager will attend interdisciplinary meetings and advocate on members behalf. The care manager works with member and care team to develop care plan and will authorize services within the MLTSS/ FIDE benefit. The care manager will also work with the member and care team to coordinate and assist with community resources. The care manager is responsible for documenting accurately and timely in the electronic health record. This position requires the care manager to use critical thinking and be able to problem solve any issues related to assigned membership. While this position is tele-work the care manager must work normal business hours. The Case Manager will also be expected, to mentor new hires, once, a level of proficiency has been attained in their role.

Responsibilities

• Develop, implement, support, and promote health service strategies, tactics, policies, and programs.
• Conduct face to face visits using comprehensive assessments of members.
• Evaluate the medical needs of members to facilitate overall wellness.
• Coordinate and collaborate care with member/authorized representative, PCP, and care team participants.
• Attend interdisciplinary meetings and advocate on members' behalf.
• Develop care plans and authorize services within the MLTSS/FIDE benefit.
• Document accurately and timely in the electronic health record.
• Mentor new hires once proficiency is attained.

Requirements

• Licensed Clinical Social Worker, or Licensed Social Worker in NJ.
• 2+ years Behavioral Health experience.
• Must reside in Monmouth County.
• Must be willing and able to travel up to 75% in Monmouth, Ocean County and surrounding counties.
• Reliable transportation required.
• Successful completion of the NJ Choice certification is a contingency of employment.

Nice-to-haves

• Case management and/or discharge planning experience.
• Managed Care experience.
• Crisis intervention skills.
• LTSS experience.
• Previous work in geriatric case management.

Benefits

• Full range of medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Employee Stock Purchase Plan.
• Fully-paid term life insurance plan.
• Short-term and long-term disability benefits.
• Well-being programs.
• Education assistance.
• Free development courses.
• CVS store discount.
• Paid Time Off (PTO) or vacation pay.
• Paid holidays throughout the calendar year.