Behavioral Health Care Management Clinician

3 weeks ago

Portland, United States Cambia Health Solutions Full time

Behavioral Health Care Management Clinician

Remote within OR, WA, UT, or ID. Candidates outside of these states will not be considered

Are you a Licensed Behavioral Health Professional that is passionate about making a difference? In this position, you would provide clinical care management to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. You would oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed.

Responsibilities

  • Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.

  • Assessment: collection of in-depth information about a member's situation and functioning to identify individual needs.

  • Planning: identification of specific objectives, goals, and actions designed to meet the member's needs as identified in the assessment.

  • Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.

  • Coordination: organization, securing, integrating and modifying resources.

  • Monitoring: gathering sufficient information to determine the plan's effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes. Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care. Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license.

  • Consults with physician advisors to ensure clinically appropriate determinations.

  • Serves as a resource to internal and external customers.

  • Collaborates with other departments to resolve claims, quality of care, member or provider issues.

  • Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.

  • Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.

  • Provides consistent and accurate documentation.

  • Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.

Minimum Requirements

  • Knowledge of health insurance industry trends, technology and contractual arrangements.

  • General computer skills (including use of Microsoft Office, Outlook, internet search). Familiarity with health care documentation systems.

  • Strong oral, written and interpersonal communication and customer service skills.

  • Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.

  • Strong organization and time management skills with the ability to manage workload independently.

  • Ability to think critically and make decision within individual role and responsibility.

Normally to be proficient in the competencies listed above

  • Behavioral Health Clinical Manager would have a Master's Degree in Behavioral Health Discipline and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience.

Required Licenses, Certifications, Registration, Etc.

  • Must have 3 years direct behavioral Health clinical experience as an independently licensed Master's level Behavioral Health Clinician (no associate or interns) in one of the areas of Psychology, Counselling, Social Work, or Marriage and Family Therapy (LICSW, LCSW, LMHC, LPC and LMFT). Clinical License must be unrestricted and current in state of residence.

#LI-Remote

  • Perinatal Behavioral Health Clinician

    7 hours ago

    Portland, United States Women's Healthcare Associates Full time

    At WHA, we're a team, passionate about humanizing healthcare. We're inspired by the diverse stories, strength and resilience of our patients and the unique choices they make in pursuing health for themselves and their families. We envision a world where every person has the opportunity to achieve their optimal health and we're here to support that journey...

  • Perinatal Behavioral Health Clinician

    2 days ago

    Portland, United States Women's Healthcare Associates Full time

    At WHA, we're a team, passionate about humanizing healthcare. We're inspired by the diverse stories, strength and resilience of our patients and the unique choices they make in pursuing health for themselves and their families. We envision a world where every person has the opportunity to achieve their optimal health and we're here to support that journey...

  • Perinatal Behavioral Health Clinician

    1 day ago

    Portland, United States Women's Healthcare Associates, LLC Full time

    At WHA, we're a team, passionate about humanizing healthcare. We're inspired by the diverse stories, strength and resilience of our patients and the unique choices they make in pursuing health for themselves and their families. We envision a world where every person has the opportunity to achieve their optimal health and we're here to support that journey...

  • Behavioral Health Clinician

    19 hours ago

    Portland, United States Central City Concern Full time

    The Blackburn Center is an innovative program that will offer integrated housing, health care, and employment services with the long-term goal of eliminating homelessness. We seek to change how these services are delivered to all people, especially vulnerable populations. The Integrated Behavioral Health Clinician provides a variety of urgent and ongoing...

  • Behavioral Health Clinician

    21 hours ago

    Portland, United States Central City Concern Full time

    The Integrated Behavioral Health Clinician provides a variety of urgent and ongoing behavioral health services for patients of Old Town Clinic. The Clinician works with a multidisciplinary team and is responsible for advocating and supporting the behavioral health needs of clients of Old Town Clinic including providing clinic support, evidenced-based...

  • Behavioral Health Clinician

    1 day ago

    Portland, United States Central City Concern Full time

    The Integrated Behavioral Health Clinician provides a variety of urgent and ongoing behavioral health services for patients of Old Town Clinic. The Clinician works with a multidisciplinary team and is responsible for advocating and supporting the behavioral health needs of clients of Old Town Clinic including providing clinic support, evidenced-based...

  • Behavioral Health Clinician

    15 hours ago

    Portland, United States Central City Concern Full time

    The Blackburn Center is an innovative program that will offer integrated housing, health care, and employment services with the long-term goal of eliminating homelessness. We seek to change how these services are delivered to all people, especially vulnerable populations. The Integrated Behavioral Health Clinician provides a variety of urgent and ongoing...

  • Mental Health Clinician

    11 hours ago

    Portland, United States Mindful Mental and Behavioral Health PLLC Full time $72,000 - $135,000

    Mental Health Clinician. Remote and Hybrid Positions Available in Portland, Oregon. Come join our team! At Mindful Mental and Behavioral Health PLLC, we value our employees and our culture of respect, trustworthiness, transparency, empathy, engagement, and connection as we strive to provide the best treatment to those we serve.Serving clients in Oregon and...

  • Behavioral Health Clinician

    15 hours ago

    South Portland, United States Maine Health Full time

    Full Time 75 John Roberts Rd Behavioral Health Day Shift For a limited time MaineHealth is offering up to $10,000 Sign on bonus for all eligible Social Workers! * Eligible candidates are hired (offer accepted) into a Full or Part time Social Worker position. Bonus amount prorated for Part time hires, per diem hires are ineligible. * Current MaineHealth...

  • Behavioral Health Clinician

    2 days ago

    Portland, United States MaineHealth Full time

    Summary For a limited time MaineHealth is offering up to $10,000 Sign on bonus for all eligible Clinicians! Eligible candidates are hired (offer accepted) into a Full or Part time Clinician position. Bonus amount prorated for Part time hires, per diem hires are ineligible. Current MaineHealth member employees are ineligible; former MaineHealth Members are...

  • Behavioral Health Clinician Trainee

    2 days ago

    Portland, United States Hartford Healthcare Full time

    Work where every moment matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. Rushford Center, one of Connecticut’s leading providers of addiction and mental health...

  • Utilization Review Clinician

    13 hours ago

    Portland, United States Centene Full time

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental...

  • Behavioral Health Therapist

    10 hours ago

    Portland, United States Mindful Mental and Behavioral Health PLLC Full time $72,000 - $135,000

    Behavioral Health Therapist. Remote and Hybrid Positions Available in Portland, Oregon. Come join our team! At Mindful Mental and Behavioral Health PLLC, we value our employees and our culture of respect, trustworthiness, transparency, empathy, engagement, and connection as we strive to provide the best treatment to those we serve.Serving clients in Oregon...

  • Behavioral Health Clinician

    2 days ago

    Portland, United States Hartford Healthcare Full time

    Work where every moment matters. Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. Rushford Center, one of Connecticut’s leading providers of addiction and mental health...

  • Behavioral Health Clinician Trainee

    15 hours ago

    Portland, United States Hartford HealthCare Full time

    Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Work where every moment matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare...

  • Behavioral Health Clinician

    1 day ago

    South Portland, United States Maine Medical Center Full time

    Summary For a limited time MaineHealth is offering up to $10,000 Sign on bonus for all eligible Social Workers! Eligible candidates are hired (offer accepted) into a Full or Part time Social Worker position. Bonus amount prorated for Part time hires, per diem hires are ineligible. Current MaineHealth member employees are ineligible; former MaineHealth...

  • Behavioral Health Clinician

    2 days ago

    South Portland, United States MaineHealth Full time

    Summary For a limited time MaineHealth is offering up to $10,000 Sign on bonus for all eligible Social Workers! Eligible candidates are hired (offer accepted) into a Full or Part time Social Worker position. Bonus amount prorated for Part time hires, per diem hires are ineligible. Current MaineHealth member employees are ineligible; former MaineHealth...

  • Behavioral Health Clinician

    1 day ago

    Portland, United States Hartford HealthCare Full time

    Description Job Schedule: Per Diem Standard Hours: 1 Job Shift: Shift 1 Shift Details: Work where every moment matters. Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare...

  • Mental Health Clinician

    7 hours ago

    Portland, United States Morrison Child and Family Services Full time

    DescriptionTITLE: Mental Health Clinician (Bilingual Spanish)POSITION: Full-Time/ In-Person SALARY: Unlicensed - $29.48/hr. - $31.36/hr. (Licensed - $31.10/hr. - $33.09/hr.)Morrison Child and Family Services: We are a Joint Commission and Sanctuary accredited non-profit organization that provides a comprehensive array of services to children, adolescents,...

  • Behavioral Health Clinician

    20 hours ago

    Portland, United States Hartford HealthCare Full time

    Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Work where every moment matters. Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare...