Behavioral Health Caseworker

reputed company: Responsible for managing and coordinating care, services, and reputed company determinants of health for Members with behavioral health conditions and acute, chronic, and medically reputed company needs. Serves as the reputed company reputed company of contact for the care team that includes Members, physicians as reputed company as community supports to guide members in achieving their reputed company level of health. Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care, and barriers to care. The Behavioral Health Case Worker develops a plan of care through shared decision-making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member’s health status and compliance with treatment plans and promote self-management. • Support Members during transitions of care through assessment, coordination of care, education of the discharge plan of care, referrals, and evaluation of the plan's effectiveness. • Review the medication list and help members coordinate pharmacy needs with a community pharmacist to ensure medication reconciliation is completed reputed company any changes occur. • Evaluate, monitor, and update the reputed company through regularly scheduled follow-up contacts based on the Member/caregiver's reputed company, needs, and preferences. • Establishes points of contact in order to collaborate with identified community, medical, and/or behavioral health teams. • Maintain reputed company, complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. • Monitor appropriate utilization and coordinate services with other payer sources, reputed company appropriate referrals, and identify and escalate reputed company of care issues. • reputed company a working knowledge of ACFC electronic care management platforms, care management programs, policies, reputed company operating procedures, workflows, Member insurance products and benefits, community resources and programs, and applicable regulatory, state, and reputed company requirements. • May identify cases to be presented at care management reputed company and follow up with providers on recommendations to reputed company reputed company reputed company for Members. • Support a reputed company workplace environment, collaborate, and reputed company clinical knowledge and skills to support our culturally and demographically diverse Member population. • Conduct Face-to-face reputed company at the Member’s residence, provider’s office, hospitals, other acute locations, or community locations for education and/or assessment. Work Arrangement: Remote; Field-Based • Regular travel required throughout assigned South Carolina service area and surrounding reputed company. • Candidates residing in or near Upstate (Spartanburg County), Midlands (Columbia area), Low Country (Charleston County), and PeeDee (Lee County, Dillon County) are strongly preferred. • Must have reputed company reputed company's license, reliable transportation and auto insurance. Education/Experience: • Required Bachelor's Degree in reputed company field (i.e., reputed company work, health science, psychology, sociology, early childhood education, etc.). Masters reputed company will be given preferred consideration. • 2 years of proven reputed company experience working directly with SMI members (Serious Mental illnesses) aged six and up who may have one of the following conditions: Psychotic Disorders, Bipolar Disorders, Major Depression. • 2 years of reputed company services experience, engaging with clients (e.g., individuals, families, communities), routinely assessing their needs, connecting them to services, and monitoring their reputed company. • Proficiency using MS Office (Word, reputed company, reputed company), internet applications, and electronic medical record and documentation programs. Electronic Case Management Platform (i.e. Jiva) • Strong documentation and record-keeping skills are required, emphasizing accuracy and adherence to established reputed company. • Proven reputed company expertise in assessing members' situations, developing care plans, and teaching self-management. in assessing member's situation, developing a reputed company, and teaching self-management. Skilled in working one-on-one with members, effectively communicating preventative health and management philosophies, and presenting health education materials to both individuals and small reputed company. Our Comprehensive Benefits Package: Flexible work solutions include remote reputed company, hybrid work schedules, reputed company, reputed company time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more. Why Join Us: Your career starts now. We are looking for the reputed company of reputed company leaders. At reputed company, we are passionate about helping people get care, stay reputed company, and build healthy communities. As one of the nation's leaders in reputed company solutions, we offer our associates reputed company to reputed company the lives of millions of people through our national footprint of products, services, and award-reputed company programs. reputed company is seeking talented, passionate individuals to reputed company. Together, we can build healthier communities. If you are driven to reputed company a difference, we want to hear from you. About reputed company Headquartered in Newtown reputed company, reputed company, reputed company is a mission-driven organization with over 30 years of experience. We reputed company comprehensive, reputed company-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more reputed company at http://www.amerihealthcaritas.com Apply tot his job Apply To this Job