Care Manager
6 days ago
We are seeking a skilled Care Manager - Behavioral Health Specialist to join our team at Superior HealthPlan. As a key member of our care management team, you will play a critical role in developing and implementing holistic care plans for our members with complex mental and behavioral health needs.
Key Responsibilities- Evaluate member service needs and develop or contribute to the development of care plans/service plans to ensure quality, cost-effective healthcare outcomes.
- Act as a liaison and member advocate between the member/family, physician, and facilities/agencies to ensure seamless coordination of care.
- Support members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.
- Perform frequent home and/or other site visits to assess member needs and collaborate with resources as required.
- Provide education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits.
- Coordinate community resources, including medical, behavioral, and social services, to ensure members have access to necessary support.
- Maintain accurate documentation and support the integrity of care management activities in our electronic care management system.
- Comply with all policies and standards, including clinical guidelines and current state and federal guidelines.
- Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience.
- Licensed Behavioral Health Professional or RN with psychiatric experience based on state contract requirements.
- Preferred experience in case management, patient advocacy, or coordinating community mental health and/or personal assistance or social services for members.
- Strong clinical documentation skills and ability to utilize case management systems.
- Proficient computer skills with Microsoft and Video Conferencing applications.
- Ability to work independently with minimal supervision.
Superior HealthPlan offers a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
We are an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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