Behavioral Health Case Manager RN
3 weeks ago
Regal Medical Group, Inc. is seeking a highly skilled and compassionate Behavioral Health Case Manager RN to join our team. As a key member of our interdisciplinary care team, you will play a vital role in providing patient-centered case management and support to members with primary need for behavioral health services.
Job Summary:The Behavioral Health Case Manager RN will collaborate with our inter-disciplinary care team to promote and ensure ongoing engagement in behavioral health services. You will help to mitigate psychosocial and behavioral health drivers of preventable healthcare utilization and promote ongoing health management. Your primary focus will be on working with complex and vulnerable populations, removing barriers to treatment compliance, linking to and ongoing engagement with appropriate behavioral health services, and promoting overall health and wellness through evidence-based interventions.
Key Responsibilities:- Manage and monitor Behavioral Health patients through periodic phone calls and in-person visits, post-hospital follow-up, and direct contact in acute, clinic, and community settings.
- Communicate and facilitate coordination of care with and between primary care physicians, specialty care providers, interdisciplinary care teams, members, family members, and caregivers to promote development of and adherence to appropriate treatment plans.
- Develop actionable care plans for members, including patient-centered SMART goals.
- Utilize effective relationship management, resource management, advocacy, and pertinent interventions to promote improved quality of care and patient quality of life, maintenance or improvement of functional level, cost-effective medical interventions and outcomes, and prevention of hospitalization and readmission whenever possible and appropriate.
- Attend all required intervention visits in accordance with program protocols, daily outpatient meetings, and other interdisciplinary team meetings as appropriate.
- Actively participate in Interdisciplinary Care Team meetings by presenting appropriate Behavioral Health cases for discussion and contribute at meetings to promote total case management.
- Document patient assessment and reassessment, patient care plans, and other pertinent information completed in the patient's medical records in accordance with organizational standards and policies.
- Consult with other departments as appropriate to provide for an interdisciplinary approach to the patient's needs.
- Record accurate information in all required documentation systems in accordance with company policy, compliance regulations, and quality standards.
- May assume leadership role of inter-disciplinary care team when appropriate.
- Maintain a strong working knowledge of the healthcare system, behavioral health providers, and delegations of risk for behavioral health services by line of business for the company, as well as organization's outpatient care protocols.
- Identify root drivers of hospital admissions and community resources to address patients' needs.
- 5+ years of Behavioral Health case management experience.
- Bachelor's degree in psychology, social work, or related field, or current CA RN license.
- Master's degree in psychology, social work (with licensure) or related field or current CA RN license preferred.
- Valid CA Driver's license.
- Experience with Medi-Cal beneficiaries preferred.
- Bilingual (Spanish or Armenian) highly preferred.
Regal Medical Group, Inc. offers a comprehensive benefits package, including employer-paid comprehensive medical, pharmacy, and dental for employees, vision insurance, zero co-payments for employed physician office visits, Flexible Spending Account (FSA), Employer-Paid Life Insurance, Employee Assistance Program (EAP), Behavioral Health Services, 401k Retirement Savings Plan, Income Protection Insurance, vacation time, company celebrations, employee assistance program, employee referral bonus, tuition reimbursement, license renewal CEU cost reimbursement program, business-casual working environment, sick days, paid holidays, and mileage.
Regal Medical Group, Inc. is an equal opportunity employer and welcomes applications from qualified candidates with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
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