Clinical Case Manager Behavioral Health
Core
Facilitates physical and behavioral healthcare through assessment, care planning, and coordination of psychosocial wraparound services to promote optimal, cost-effective outcomes.
Role type
Senior IC clinical case manager (behavioral health)
Builds
Member care plans and coordinated service utilization
Domain
Healthcare + Behavioral Health
Required skills
clinical judgment, crisis intervention, care planning, benefit plan evaluation, regulatory compliance, data analysis, motivational interviewing, case management processes
Preferred skills
managed care/utilization review experience, discharge planning experience
Technologies
clinical tools, standardized case management plans
Responsibilities
Conduct comprehensive assessments of member needs and eligibility; apply clinical judgment to reduce risk factors and address complex clinical indicators; perform crisis intervention and provide follow-up; consult with supervisors and medical directors to overcome care barriers; analyze utilization and clinical data to identify member needs; develop and monitor plans of care in collaboration with members and care teams; escalate quality of care issues.
Seniority
Mid-Senior level, hands-on IC
