Field-Based Remote Behavioral Health Case Worker - Serious Mental Illness

Join Our Team and Make a Difference in the Lives of Others

We are seeking a compassionate and experienced Field-Based Remote Behavioral Health Case Worker to join our team at AmeriHealth Caritas. As a leader in healthcare solutions, we are dedicated to helping people get care, stay well, and build healthy communities. In this role, you will have the opportunity to work remotely and make a positive impact on the lives of individuals with serious mental illnesses.

About the Role:

The Field-Based Remote Behavioral Health Case Worker is responsible for managing and coordinating care, services, and social determinants of health for members with behavioral health conditions and acute, chronic, and medically complex needs. You will serve as the primary point of contact for the care team, guiding members in achieving their optimal level of health. Your strong assessment and communication skills, critical thinking, and clinical knowledge will enable you to identify issues, gaps in care, and barriers to care, and develop a plan of care through shared decision-making with the member/caregiver and in collaboration with providers and other care team members.

Responsibilities:

• Manage and coordinate care, services, and social determinants of health for members with behavioral health conditions
• Develop a plan of care through shared decision-making with the member/caregiver and in collaboration with providers and other care team members
• 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 medication lists and help members coordinate pharmacy needs with a community pharmacist
• Evaluate, monitor, and update the care plan through regularly scheduled follow-up contacts
• Establish points of contact to collaborate with identified community, medical, and/or behavioral health teams
• Maintain timely, complete, and accurate documentation of member interactions
• Monitor appropriate utilization and coordinate services with other payer sources
• Develop a working knowledge of electronic care management platforms, care management programs, policies, and standard operating procedures

Requirements:

• Bachelor's Degree in Human Services or related field (Master's preferred)
• 2 years of proven professional experience working directly with SMI members (Serious Mental illnesses) aged six and up
• 2 years of social services experience, engaging with clients and assessing their needs
• Proficiency using MS Office, internet applications, and electronic medical record and documentation programs
• Ability to manage a large caseload of up to 60 members
• Strong documentation and record-keeping skills
• Proven professional expertise in assessing members' situations, developing care plans, and teaching self-management

What We Offer:

• Competitive pay and comprehensive benefits package
• Opportunity to work remotely and make a positive impact on the lives of others
• Collaborative and dynamic work environment
• Professional development and growth opportunities
• Recognition and rewards for outstanding performance

Diversity, Equity, and Inclusion: