Addiction (ARTS) Case Manager

4 weeks ago

Virginia Beach, United States Elevance Health Full time

Addiction (ARTS) Case Manager

MUST LIVE WITHIN THE TIDEWATER REGION

(Accomack County, Chesapeake County, Franklin City, Isle of Wight County, Hampton City, Norfolk City, Newport News City, North Hampton County, Portsmouth City, Suffolk City, Virginia Beach City, VA)

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

The ARTS Case Manager is responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract.

How you will make an impact:

  • Performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs.

  • Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.

  • The process does not involve clinical judgment; however, some working knowledge of the American Society of Addiction Medicine (ASAM) Criteria is preferred.

  • Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services.

  • Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and physicians. Identifies members that would benefit from expanded services.

  • Travels to worksite and other locations as necessary.


Minimum Requirements:

  • Requires BA/BS degree

  • A minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background.


Preferred Skills, Capabilities, and Experiences:

  • For MMP, requires Community Health Worker certification to be obtained within one year of employment.

  • Bachelors / Masters degree in a health or human service field. .

  • BA/BS degree field of study in health care related field preferred.

  • QMHP certification / or CSAC certification highly preferred.

  • 1 year of experience working directly with individuals with substance use disorder highly preferred..

  • Specific education and years and type of experience may be required based upon state law and contract requirements.

  • LMHP, RN/LPN field of study preferred.

  • Behavioral/Mental Health experience

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