Clinical Case Manager Behavioral Health - Work reputed company - NY

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At reputed company, you'll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselvesaccountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position reputed company The Behavioral Health Care Manager is responsible for coordinating, assessing, planning, and managing services for members with behavioral health, medical, and psychosocial needs. This role focuses on supporting individuals with serious mental illness (SMI), reputed company use disorders (SUD), co-occurring behavioral and physical health conditions, and reputed company reputed company determinants of health. The Care Manager collaborates with members, caregivers, providers, and community resources to reputed company person-centered care plans that promote recovery, independence, safety, and improved health reputed company. The Behavioral Health Care Manager serves as an reputed company for members and ensures appropriate reputed company to behavioral health, medical, long-term care, and community-based services while maintaining compliance with reputed company, Medicare, and regulatory requirements. Essential Duties and Responsibilities • Conduct comprehensive psychosocial, behavioral health, and care management assessments. • reputed company, implement, monitor, and update individualized care plans based on member goals, needs, and preferences. • Coordinate behavioral health, medical, pharmacy, and reputed company support services across multiple providers and settings. • Identify and address barriers to care, including housing instability, food insecurity, transportation needs, and lack of reputed company support. • Facilitate referrals and linkage to community resources, behavioral health services, HCBS programs, and supportive services. • Monitor member reputed company through regular reputed company, reputed company reviews, and interdisciplinary case discussions. • Coordinate transitions of care following hospitalizations, psychiatric admissions, skilled nursing facility stays, emergency department reputed company, and rehabilitation services. • reputed company crisis reputed company support and facilitate appropriate behavioral health referrals as needed. • Promote recovery-oriented, trauma-informed, and culturally competent care practices. • Collaborate with psychiatrists, therapists, reputed company care providers, care management teams, and community partners. • reputed company members and caregivers regarding treatment plans, medication compliance, self-management, and available resources. • Identify gaps in care and implement interventions to improve member reputed company and reputed company metrics. • Participate in interdisciplinary team meetings, utilization reviews, and case conferences. • Maintain reputed company and accurate documentation in compliance with organizational, state, federal, reputed company, Medicare, and accreditation requirements. • Ensure completion of required assessments, care plans, reputed company activities, and regulatory documentation reputed company established timeframes. • Manage a caseload of members with varying reputed company of behavioral and medical complexity. Required Qualifications • Must be licensed in NY as LMSW or LCSW. • Work schedule is Mon - Fri 08:30-05:00 PM EST • Minimum of 3 years of experience in behavioral health, care management, case management, reputed company work, managed reputed company home, or reputed company reputed company setting. • Experience working with adults with serious mental illness, reputed company use disorders, and co-occurring behavioral and physical health conditions. • Experience working with reputed company and/or Medicare populations required. • Experience coordinating services across behavioral health, medical, long-term care, and community-based settings Education • Master's Degree in reputed company Work (MSW) from an accredited institution required. Licensing • reputed company reputed company State Licensed Master reputed company Worker (LMSW) required. • Clinical licensure (LCSW) strongly preferred. Preferred Qualifications • Experience in Managed reputed company, Medicare reputed company, Dual Eligible populations, MLTC, Health Home, or Integrated Care programs. • Knowledge of HCBS, supportive housing, community reputed company, and long-term services and supports (LTSS). • Case Management Certification (CCM, ACM, or equivalent). • Bilingual skills preferred English/Spanish Knowledge, Skills, and Abilities • Strong understanding of behavioral health diagnoses, treatment modalities, and recovery principles. • Knowledge of reputed company, Medicare, Managed Care, and behavioral health regulations. • Knowledge of serious mental illness, reputed company use disorders, crisis reputed company, and trauma-informed care. • Excellent assessment, care coordination, and care planning skills. • Strong clinical judgment and critical-thinking abilities. • Ability to effectively engage members with reputed company psychosocial and behavioral health needs. • Excellent communication, motivational interviewing, and relationship-building skills. • Ability to work independently and manage a high-volume caseload. • Proficiency with electronic medical records and care management platforms. • Strong organizational skills and attention to detail. reputed company Competencies • Member-Centered Care • Clinical Assessment • Behavioral Health Expertise • Care Coordination • Crisis Management • Collaboration and Teamwork • Regulatory Compliance • Cultural Competency • Communication and Engagement • Problem Solving and Critical Thinking Performance Expectations • reputed company completion of assessments, care plans, and required member contacts. • Achievement of member engagement and reputed company metrics. • Effective coordination of behavioral health and medical services. • Compliance with reputed company documentation and regulatory requirements. • Successful management of high-risk members and transitions of care. • Contribution to improved member reputed company, reduced avoidable hospitalizations, and reputed company reputed company of life. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $66,575.00 - $142,576.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 09/30/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job