Special Programs Case Manager I (Licensed BH Clinician)

Elevance Health•Atlanta, GA

1d•Hybrid

About The Position

The Special Programs Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health.

Requirements

Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background.
Requires an active, current and valid license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States.
Must be a resident of Georgia.

Nice To Haves

Experience working with specialty populations – DFCS and adoptive families/children highly preferred.
Clinical experience in social work and/or counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.

Responsibilities

Conducts assessments to identify individual needs.
Develops a comprehensive care plan to address objectives and goals as identified during the assessment.
Supports member access to appropriate quality and cost-effective care and modifies plan(s) as needed.
Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole-person care.
Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning.
Works closely with various state agencies.
Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network.
Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, to help them function better at home, in the community, and throughout life.
Evaluates health needs and identify applicable services and resources in conjunction with members and their families.
Provides important information including patient education, medication reconciliation, and identification of community resources, and assists with the arrangement of follow-up care.