Behavioral Health Case Manager

2 weeks ago

Worcester, United States Fallon Health Full time

Overview:
**About Fallon Health**:
Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. For 45 years we have been improving health and inspiring hope in the communities we serve. Committed to caring for those who need us most, we pride ourselves on providing equitable access to coordinated, integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of All-Inclusive Care for the Elderly (PACE). Dedicated to delivering high quality health care, we are continually rated among the nation’s top health plans for member experience and service and clinical quality.

**Brief Summary of Purpose**:
The Behavioral Health Case Manager (BHCM) is responsible for assessing a member’s behavioral and social care needs and developing and implementing a care plan to address all identified issues. The BHCM serves as an active participant on the member’s Care Team and an advocate for the member. The BHCM is actively involved with the member from time of psychiatric admission through discharge and ensures all Care Team members and healthcare providers are aware of member’s status. The BHCM facilitates prompt access to outpatient mental health supports, and community resources. The BHCM collaborates and works with members of the care team at both Fallon Health and community resources (Partners) during period of member transition of care.

May attend in person care planning meetings, care coordination meetings, partner communication meetings, and other face-to-face meetings with providers, partners, and members to perform assessments, train staff, coordination communication and otherwise represent Fallon Health in a positive way.

**Responsibilities**:
**Responsibilities**:
**Assessment and care plan coordination**
- Contacts Members and Caregivers/guardians telephonically and/or in person after receiving a BH referral to:

- Conduct behavioral health assessment(s) and administer other assessment tools as indicated;
- Assess and address the mental health and social care needs of the members;
- Recommend modifications to the member’s integrated care plan if present
- Completes a home visit for all agreeable referred members within alloted time frames and in the event of an emergent mental health or social care need or as indicated behavioral health clinical change (not otherwise accounted for by a medical change) to assign a rating category which determines BH case management level of involvement
- May complete home visits and follow up assessments after all BH hospitalizations/Transitions of Care
- Maintains an ongoing awareness of clinical, social, and financial resources available in the community as well as State/Federal and national resources
- Coordinates and works with governmental, private, civic, religious, business and/or other groups to arranges and coordinate plans for members served in the Program
- Assists members in establishing or reinforcing a social support network, thereby reducing their dependence on the medical system.
- Offers proactive review of members for a multidisciplinary care planning with PCPs and Care Teams
- Supports the Care Teams in the development, implementation and modification of Individualized Care Plans for Members, attends Care Team team meetings including those in provider offfices, community partner locations, office locations and otherwise
- Updates all relevant Care Team members regarding the member’s mental health and substance use status and develops and/or proposes changes to the behavioral health care plan as appropriate
- Works collaboratively with the outreach team and Fallon NaviCare ESR or other employees to assist in the smooth transition of potential members who present with a defined behavioral health need including but not limited to: resources for medication compliance and appropriate in-network BH providers
- Participates in monthly supervision with leader
- Performs other responsibilities as assigned by Clinical Intergration Leadership Team

**Clinical documentation and data management and reporting**
- Documents outcomes of initial and follow up home visits in the documentation system per department guidelines ensuring all Care Team members are notified of any emergent needs and data entry completed immediately
- Completes referrals for all the member’s recommended behavioral health services, including outpatient supports, therapy, and medication management/assessment; ensures all Care Team members and relevant caregivers are aware of referrals and goals. Documents all activity in the documentation system per department guidelines
- Completes/facilitates referrals for needed neuropsychiatric evaluation(s) notifying all Care Team team members of evaluation referral and documenting referral activity in the documentation system
- Monitors daily inpatient BH census log and contacts appropriate hospital

  • Behavioral Health Case Manager

    2 weeks ago

    Worcester, Massachusetts, United States Fallon Health Full time

    Overview:About Fallon Health:Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. For 45 years we have been improving health and inspiring hope in the communities we serve. Committed to caring for those who need us most, we pride ourselves on providing equitable access to coordinated,...

  • Behavioral Health Case Manager

    1 week ago

    Worcester, United States Fallon Health Full time

    Overview: About Fallon Health: Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. For 45 years we have been improving health and inspiring hope in the communities we serve. Committed to caring for those who need us most, we pride ourselves on providing equitable access to coordinated,...

  • Case Manager

    2 weeks ago

    Worcester, Massachusetts, United States Promises Behavioral Health, LLC Full time

    Position Summary The Case Manager plans, implements, and coordinates an array of comprehensive, individualized client services during their residency and in preparation for continuing care and safe, sober housing after discharge. The Case Manager also delivers psychoeducational and motivational enhancement instruction in group and individual settings and...

  • Case Manager

    1 week ago

    Worcester, United States Promises Behavioral Health, LLC Full time

    Job DescriptionJob DescriptionPosition SummaryThe Case Manager plans, implements, and coordinates an array of comprehensive, individualized client services during their residency and in preparation for continuing care and safe, sober housing after discharge. The Case Manager also delivers psychoeducational and motivational enhancement instruction in group...

  • Case Manager

    1 week ago

    Worcester, United States Promises Behavioral Health, LLC Full time

    **Position Summary** The Case Manager plans, implements, and coordinates an array of comprehensive, individualized client services during their residency and in preparation for continuing care and safe, sober housing after discharge. The Case Manager also delivers psychoeducational and motivational enhancement instruction in group and individual settings...

  • Behavioral Health RN Case Manager

    2 weeks ago

    Worcester, Massachusetts, United States Elara Caring Full time

    At Elara Caring, we have an exciting opportunity to contribute significantly to the expansion of the home care sector. Each member of our team plays a crucial role in fulfilling our mission daily. Become part of our exceptional group of healthcare professionals dedicated to providing the Right Care, at the Right Time, in the Right Place.Job Title: Behavioral...

  • Case Manager-Non-Exempt

    1 week ago

    Worcester, United States Promises Behavioral Health, LLC Full time

    Position Summary The Case Manager plans, implements, and coordinates an array of comprehensive, individualized client services during their residency and in preparation for continuing care and safe, sober housing after discharge. The Case Manager also delivers psychoeducational and motivational enhancement instruction in group and individual settings and...

  • Case Manager-Non-Exempt

    2 weeks ago

    Worcester, United States Promises Behavioral Health, LLC Full time

    Position Summary The Case Manager plans, implements, and coordinates an array of comprehensive, individualized client services during their residency and in preparation for continuing care and safe, sober housing after discharge. The Case Manager also delivers psychoeducational and motivational enhancement instruction in group and individual settings and...

  • Case Manager-non-exempt

    2 weeks ago

    Worcester, United States Promises Behavioral Health, LLC Full time

    **Position Summary** The Case Manager plans, implements, and coordinates an array of comprehensive, individualized client services during their residency and in preparation for continuing care and safe, sober housing after discharge. The Case Manager also delivers psychoeducational and motivational enhancement instruction in group and individual settings...

  • Psychologist at MASS BEHAVIORAL HEALTH CENTER INC

    4 weeks ago

    Worcester, United States MASS BEHAVIORAL HEALTH CENTER INC Full time

    Job DescriptionJob DescriptionCome join a friendly and supportive clinical team that provides quality care! Mass Behavioral Health Center in Worcester, MA is a DPH approved outpatient mental health clinic that offers the benefits comparable to larger agencies such as competitive reimbursement rates, benefitted fee-for-service positions and flexible hours...

  • Therapist at MASS BEHAVIORAL HEALTH CENTER INC

    4 weeks ago

    Worcester, United States MASS BEHAVIORAL HEALTH CENTER INC Full time

    Job DescriptionJob DescriptionCome join a friendly and supportive clinical team that provides quality care! Mass Behavioral Health Center in Worcester, MA is a DPH approved outpatient mental health clinic that offers the benefits comparable to larger agencies such as competitive reimbursement rates, benefitted fee-for-service positions and flexible hours...

  • Behavioral Health Advanced Practice Clinician in

    3 weeks ago

    Worcester, United States Worcester Area Behavioral Health Facility Full time

    41993BR **Behavioral Health Advanced Practice Clinician in Worcester, MA**: Nurse Practitioner Post-Acute Care **Description** TeamHealth is currently seeking a highly skilled and compassionate n**urse practitioner (NP)** **or physician assistant (PA) **to join our growing team providing **primary care services** in an i**npatient behavioral health...

  • Transitions Case Manager

    2 months ago

    Worcester, United States LUK Inc. Full time

    Job DescriptionJob DescriptionThe Transition Case Manager works under the direction of the TIL Program. This position will successfully engage and retain young people in after care referred by LUK placement program(s). Through assessments and consultation, the Transition Case Manager will work with the young person to develop and implement after care plans...

  • Behavioral Health Clinician

    2 months ago

    Worcester, United States Family Health Center Full time

    Position Summary: The LICSW clinician will provide clinical assessments & mental health treatment to FHCW clients. Essential Duties and Responsibilities Maintains working knowledge of and adhere to the program Manual, agency handbook and Policies and ProceduresCommitment to providing cost conscious, fiscally responsible, timely, efficient, effective, safe,...

  • Behavioral Health Clinician

    2 months ago

    Worcester, United States Family Health Center Full time

    Job DescriptionJob DescriptionPosition Summary: The LICSW clinician will provide clinical assessments & mental health treatment to FHCW clients. Essential Duties and Responsibilities Maintains working knowledge of and adhere to the program Manual, agency handbook and Policies and Procedures Commitment to providing cost conscious, fiscally responsible,...

  • Cchp Behavioral Health

    3 weeks ago

    Worcester, United States Central Community Health Partnership Full time

    Overview: At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life. Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity and justice...

  • CCHP Behavioral Health

    4 weeks ago

    Worcester, United States Central Community Health Partnership Full time

    Overview: At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life. Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity and justice...

  • Pediatric Behavioral Health Integrated Provider

    4 weeks ago

    Worcester, Massachusetts, United States UnitedHealth Group Full time

    As a part of Optum, the largest network of medical groups in the nation, Reliant Medical Group is seeking a Full-time Psychologist or LICSW to join our Integrated Behavioral Health Division as an Integrated Behavioral Health Provider. At Optum, we are transforming healthcare nationally while providing Clinician-led care locally. Work with the largest care...

  • Case Manager Spanish Speaking

    3 weeks ago

    Worcester, United States Latin American Health Alliance Full time

    Case Manager Hector Reyes House **About Our Organization** The mission of the Latin American Health Alliance (LAHA) is to identify and address the significant health disparities that exist for Latinos living in the greater Worcester area. LAHA advocates for the Latino Community; researches and responds to important social issues that affect the Worcester...

  • Case Manager

    4 weeks ago

    Worcester, United States Sevita Full time

    **Massachusetts Mentor**, **a part of the Sevita family, provides Residential and Treatment Foster Care services to youth who may be facing out-of-home placements, transitioning back into the family home or independent living alternatives, or involved in the juvenile justice system. Through our personalized programming, we help youth gain stability, comfort...