Behavioral Case Mgr
Posted on: February 12, 2020
Behavioral Case Mgr USA-Illinois-Champaign Position Purpose:
Perform duties related to the day to day operations of the
Integrated Case Management functions to include working with
members identified as high risk to identify needs and goals to
achieve empowerment and improved quality of life for both
behavioral and physical health issues. Assess members current
functional level and, in collaboration with the member, develop and
monitor the Case Management Care Plan, monitor quality of care;
assisting with discharge planning, participating in special
clinical projects and communicate with departmental and plan
administrative staff to facilitate daily operations of the
Integrated Case Management functions. Collaborate with both medical
and behavioral providers to ensure optimal care for members. * Work
telephonically with patients identified as high risk, for both
behavioral and physical health issues, and their providers to
identify needs, set goals and implement action steps towards
achieving goals. Empower patients to help them improve their
quality of life and ensure an integrated approach to address
complex issues. * Understand and comply with NCQA guidelines and
HEDIS measures. * Comply with established referral,
pre-certification and authorization policies, procedures and
processes by related Medical Management staff.
Education/Experience: Master s degree in behavioral health and an
unrestricted license as a LCSW, LMFT or LPC, or a PhD, PsyD or RN.
3+ years of case and/or utilization management experience.
Experience in psychiatric and medical health care settings. Working
knowledge of mental health community resources.
License/Certification: Unrestricted license as a LCSW, LMHC, LMSW
LMFT, LPC, PhD, PsyD or RN license in applicable state. LCPC, RN OR
LCSW highly preferred Centene is an equal opportunity employer that
is committed to diversity, and values the ways in which we are
different. All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, disability, veteran
status, or other characteristic protected by applicable law.
Clinical & Nursing Full-time
Keywords: Cenpatico, Champaign , Behavioral Case Mgr, Other , Champaign, Illinois
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