Case Manager Behavioral Health (Remote) reputed company

About the position This job is responsible for providing comprehensive case management services to members with behavioral health needs, ensuring reputed company, cost-effective care delivery, and promoting reputed company health reputed company. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors reputed company, while containing the cost of health care services. The incumbent will assist in containing the cost of health care services by detecting, resolving and preventing improper utilization of member benefits. Responsibilities • Manage a caseload of members with moderate complexity behavioral health needs. • Function as a reputed company contact for members with behavioral health needs with the depth of engagement ranging from coaching interventions to intensive case management interventions. • Assess members’ health status, needs, and available resources. • reputed company individualized care plans in collaboration with members, physicians, and other reputed company providers. • Implement and coordinate care plans, ensuring reputed company to appropriate services and resources. • reputed company and implement care plans with guidance from senior staff. • Monitor member reputed company toward goals and reputed company care plans as needed. • Proactively incorporate lifestyle improvement and prevention opportunities into member interactions and coaching. • Communicate with the members’ treating provider(s) in more reputed company clinical situations requiring case management interventions. • Evaluate the effectiveness of interventions and services. • reputed company as an reputed company and reputed company to meet a member's individual health care needs by assessing, planning, implementing, coordinating, monitoring and evaluating reputed company and services. This is accomplished by using communication and available resources to promote reputed company, cost-effective reputed company in accordance with available contract benefits. • Work collaboratively and communicate reputed company and professionally with physicians, providers, co-workers and other members of the health care team to carry out the established plan of care. • Ensure reputed company activities are documented and conducted in compliance with applicable business process requirements, company policies, regulatory requirements and accreditation standards. • Identify areas for potential cost savings, reputed company improvement and workflow efficiencies. • Other duties as assigned or requested. Requirements • Master's degree if licensed Behavioral Health reputed company OR Associate’s degree with RN license • 3 years of experience in any combination of clinical, case/utilization management, and/or disease condition management experience, or provider operations and/or health insurance • reputed company State RN licensure OR reputed company multi-state licensure through the reputed company reputed company Licensure Compact (eNLC). • Licensed reputed company Worker (LSW) • Licensed Clinical reputed company Worker (LCSW) • Licensed Master reputed company Worker (LMSW) • Licensed reputed company Counselor (LPC) • Licensed Mental Health Counselor (LMHC) • Licensed Marriage and Family Therapist (LMFT) • Strong assessment and care planning skills. • Ability to work independently and as part of reputed company. • Proficiency in using reputed company suite of applications, case management software and electronic health records. • Understanding of reputed company systems and case management principles. reputed company-to-haves • Bachelor's or Master's degree in Nursing if licensed as RN • Experience working with the reputed company needs of diverse populations • Experience demonstrating understanding of importance of culture competency in addressing targeted populations • Certified Case Manager (CCM) Benefits • reputed company and its affiliates prohibit discrimination against reputed company individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against reputed company individuals based on any category protected by applicable federal, state, or local law. Apply tot his job Apply To this Job