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Behavioral Health Care Manager | High Desert

3 months ago

Victorville, United States Titanium Healthcare, Inc. Full time

Who we are:

We are a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.

Join us in our mission

Job Summary:

The Behavioral Health Care Manager provides high quality, effective care management to Titanium Healthcare members. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member.

Essential Functions:

  • The Behavioral Care Manager supports ECM members with behavioral health conditions, with particular attention to ECM members with SMI and/or SUD needs, through brief interventions and behavioral activation strategies.
  • Case manages members with behavioral health needs, majority Tier 1 and Tier 2 members.
  • Responsible for utilizing brief behavioral health therapeutic interventions as necessary to improve the member's ability to manage their own health.
  • Responsible for brief crisis interventions and warm hand-offs to local crisis resources as needed
  • Educates members and families about chronic medical and behavioral health conditions to improve health literacy and assists in health promotion.
  • Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services.
  • Advocate for members to receive the highest quality of care, in a timely manner, within IEHP's network.
  • Provide effective care management for assigned members, including care coordination, linkage to resources, support in transitions of care, facilitating member self-efficacy and self-management, and all other activities associated with high quality, evidenced-based care management.
  • Engage and collaborate with staff outside the BH department, or with those outside BH discipline, to provide integrated care to assigned members.
  • Responsible for assisting members with care coordination needs.
  • Conduct comprehensive, holistic assessment according to the scope of clinician-both telephonically as well as in person.
  • Aid RN CM in overall review of member Community Health Assessment (CHA) upon completion by another care team member.
  • Works with Members to identify health/wellness goals and incorporates these goals into the Member's Shared Care Plan that facilitate communication among Members and Providers.
  • Participate in inter/transdisciplinary care team meetings to share information, update, and inform care plan.
  • Coordinate with internal and external health partners to support members' comprehensive care needs.
  • Responsible for ongoing engagement with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member's sense of control over their whole health.
  • Engage in proactive, member-centered utilization and quality review of Behavioral Health and Care Management services by members.
  • Understands and abides by all departmental and companywide policies and procedures.
  • Complies with all safety and injury prevention policies and regulations.
  • Performs other duties as assigned or required.
Qualifications:
  • Education & Experience:
    • Master's degree in social work or counseling.
    • 1-2 years' experience in social service setting, such as case management or community health.
    • Experience with an EHR/EPM; eClinical Works (ECW) experience preferred.
  • License/Certification:
    • LCSW or ACSW (Registered with CA BBS)
Language:
  • Fluent in English (written and verbal).
  • Skills:
    • Competent with computers, email, virtual platforms, Excel and other Microsoft Office based programs.
    • Must have skills and resilience to tolerate a moderate level of change and development around new models of care and care management practices.
    • Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear, effective manner.
    • Ability to identify problems and use logic and related information to develop and implement solutions.
    • Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures.
Physical Requirements: Physical demands associated with office work and driving, including but not limited to:
  • Consistently operating a computer and other office equipment such as a telephone, calculator, copy machine, and printer.
  • Must be able to remain in a stationary position 75% of the time.
  • Must be able to move around the office or community 25% of the time.
  • Frequently moving or carrying office equipment weighing up to 15 pounds across offices.
  • Ability to operate a vehicle and/or travel to meetings, meet members and different office locations as required or requested.
Benefits:
  • Medical, Dental and Vision Insurance - We cover up to 100% of your premium and up to 50% of your dependent premium depending on the plan
  • Flexible Spending Accounts, Health Savings Accounts & Dependent Care Accounts are also available
  • Life, AD&D and Short-Term Disability Insurance funded 100% by Titanium Healthcare
  • 401(k) plan
  • Employee Assistance Program
  • 12 Paid Holidays, 3 weeks of all-inclusive PTO per year (accrual begins on the first day of employment) as well as a separate Paid Sick Time balance