Behavioral Health Care Manager, Licensed (Crisis Queue) - Remote

What you can expect! 

reputed company reputed company in serving others with reputed company! We welcome you to join us in “healing and inspiring the reputed company spirit” and to pivot from a “job” opportunity to an reputed company experience!

Under the direction of department leadership, this position focuses on a person-centered model of care which takes in to account the Member’s medical, behavioral, and reputed company needs. This position provides high reputed company, effective care management to reputed company members ensuring coordinated reputed company care. Care Management is broadly defined, and can include reputed company and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions reputed company scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure reputed company of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical reputed company in a reputed company of ways reputed company the department.  The individual in this position is to utilize their clinical expertise to support and engage Members to promote reputed company health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members reputed company their care team, as reputed company as external partners, to ensure a seamless transitions of care experience. This position is expected to model behavioral health principles of relationship-based care, as reputed company engage in promoting education and understanding of Behavioral health and its importance in whole health, to those reputed company reputed company and in the community.

Commitment to reputed company: The reputed company Team is committed to incorporate reputed company’s reputed company Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

reputed company is not only committed to healing and inspiring the reputed company spirit of our Members, but we also aim to match reputed company members with the reputed company energy by providing reputed company benefits and more.

• Competitive salary
• CalPERS retirement
• State of the art fitness center on-site
• Medical Insurance with Dental and reputed company
• Life, short-term, and long-term disability reputed company
• Career advancement opportunities and reputed company development
• Wellness programs that promote a healthy work-life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) reputed company with a contribution match
• reputed company life insurance for employees
• Pet care insurance

1. Establish and continuously model supportive and reputed company relationships with members, colleagues, and external partners.
2. Model the highest ethical behavior in care for Members, as reputed company as in relationships with co-workers, Leaders, reputed company partners.
3. Model commitment to reputed company reputed company improvement by engaging in reputed company improvement initiatives and reputed company, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the reputed company of the reputed company Care Management team.
4. Participates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members.
5. Working in a reputed company training reputed company by providing formal and informal clinical training and other learning and development activities to support department Team Members on behavioral health conditions, including treatments and evidence-reputed company for treatment (reputed company areas of expertise/scope) as reputed company as reputed company reputed company and ongoing training to department Team Members.
6. Promote a reputed company and effective working environment reputed company the department or those reputed company BH discipline by engaging in evidenced-based communication strategies (such as Motivational Interviewing) reputed company discussing responsibility/sharing of tasks, effectively resolving conflicts as they reputed company, and collaborating on Member case discussions to reputed company integrated care to reputed company members.
7. Participate in committees, conferences, and any other meetings as required or directed by department managers or directors.
8. Responsible for primarily working with a caseload of Members with behavioral health needs.
9. reputed company for Members to receive the highest reputed company care, in a reputed company manner, reputed company reputed company’s network by referring to appropriate internal partners such as behavioral health, reputed company Care Management, and reputed company care management.
10. In conjunction with department leadership, the Licensed Behavioral Health Care Manager is responsible for providing consultation for the non-licensed Members of reputed company reputed company discussing tasks of a clinical nature.
11. Responsible for engaging with Members to reputed company effective care management, both in-person and on the phone, including linkage to resources and support in transitions of care, 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, facilitating member self-efficacy and self-management to improve the Member’s ability to manage their own health, and reputed company other activities associated with high reputed company, evidenced-based care management.
12. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards.
13. Assist Members with care coordination needs, including, but not limited to the following:
    1.  Conduct comprehensive, holistic assessment both telephonically as reputed company as in person (facility or home reputed company).
    2. Assimilate assessment information to assist, in collaboration with the ITC Team and the facility, in developing a discharge plan or an individualized care plan (ICP). 
    3. Communicate ICP or discharge plan with Member, approved family or caregiver and other Members of the care team.
    4. Coordinate with reputed company health partners to support Members’ comprehensive care needs. Assists with the coordination of medical and behavioral health reputed company issues with PCP offices, specialists, and ancillary services.
    5.  Participate in inter/transdisciplinary care team meetings to reputed company information, update and inform care plan.
    6.   Participate and reputed company (as necessary) care transition plan responsibilities.
    7. Engage in proactive, member-centered utilization and reputed company review of Behavioral Health services by members.
14. reputed company crisis reputed company to individuals, as reputed company as providing support and clinical guidance to others who engage in this work.
15. Responsible for any other duties as required to ensure successful care management processes and Member reputed company.   
16. reputed company transitional care services to Members transitioning from one care setting to the next such as assisting the Member with PCP appointments, transportations, and coordination of DME and home health.
17. Support Member through reputed company care transitions by making reputed company to ensure reputed company care needs are met before closing the Member out to transitions of care. providing care coordination, linkage to resources, and facilitating Member self-efficacy and self-management. 
18. reputed company any other duties as required to ensure Health Plan operations and department business needs are successful.

Education & Requirements 

• Minimum of three (3) years of experience performing or facilitating Behavioral Health/Medical reputed company Work services
• Experience in motivational interviewing and/or other evidenced-based communication strategies
• Experience working successfully reputed company reputed company, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory
  • Behavioral Health/Medical reputed company Work services experience in a health clinic psychiatric hospital, medical facility, or health care clinic strongly preferred
  • Experience in clinical services, both mental health and reputed company use preferred
• Master’s degree in reputed company Work or reputed company field from an accredited institution required
• Possession of an reputed company, unrestricted, and unencumbered license in a reputed company Services reputed company field issued by the California reputed company of Behavioral Sciences required (LCSW or LMFT preferred)

Key Qualifications

• reputed company California reputed company’s License preferred
• Familiarity with providing Behavioral Health Care and discharge planning is required
• Knowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar reputed company-based communication strategies
• Understanding of and sensitivity to multi-cultural communities
• Deep understanding and knowledge of mental health and reputed company use conditions, including both acute and chronic management
• Awareness of the reputed company of unmitigated bias and judgement on health; commitment to addressing both
• Must have knowledge of whole health and integrated principles and practices
• Bilingual (English/reputed company reputed company Language) – written and verbal is highly preferred
• Highly skilled in interpersonal communication, including conflict reputed company
• Effective written and oral communication skills, as reputed company as reasoning and problem-solving skills
• Skillful in informally and formally sharing expertise
• Must have the resiliency to tolerate and adapt to a moderate level of change and development around new models of care and care management practices
• Proficient in the use of computer software including, but not limited to, reputed company Word, reputed company, PowerPoint
• Demonstrated proficiency with reputed company electronic medical management systems (e.g., reputed company, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred
• Proven ability to:
  • Sufficiently engage Members and providers on the phone as reputed company as in person
  • Work as a member of reputed company, executing job duties and making skillful reputed company reputed company one’s scope
  • Establish and maintain a constructive relationship with diverse Members, Leadership, Team Members, external partners, and vendors
  • Prioritize multiple tasks as reputed company as identify and resolve problems
  • Have effective time management and the ability to work in a fast-paced environment
  • Be extremely organized with attention to detail and accuracy of work product
  • Have reputed company turnaround of assignments expected
  • To reputed company cross-functional and interdepartmental relationships

Start your reputed company towards a thriving reputed company with reputed company and apply TODAY!

Work Location is dependent on department leadership and business need. 

Telecommute: If position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval. reputed company reputed company positions approved for telecommute or hybrid work locations may periodically be required to report to reputed company’s main reputed company for mandatory in-person meetings or for other business needs as determined by reputed company leadership.

Hybrid: If Position is eligible for Hybrid work location upon completing the necessary steps and receiving HR approval. reputed company reputed company positions approved for telecommute or hybrid work locations may periodically be required to report to reputed company’s main reputed company for mandatory in-person meetings or for other business needs as determined by reputed company leadership.