[Hiring] Clinical Case Manager Behavioral Health @4004 Aetna Medicaid Administrators

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This is a remote role, requiring 75% travel to meet in-person with members around our service delivery area, which includes Arlington and Southeast Dallas, Texas, as well as the surrounding areas. • Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning. • Coordinates direct provider collaboration and psycho-social wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. • Conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution. • Performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to appropriate clinical providers. • Provides crisis follow-up to ensure members are receiving appropriate treatment/services. • Consults with supervisors, Medical Directors, and other programs to overcome barriers to meeting goals and objectives. • Identifies and escalates quality of care issues through established channels. • Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes. • Develops and monitors established plans of care in collaboration with the member and their care team. • Completes face-to-face visits and monthly phone contact with members, utilizing various treatment modalities and interventions. Qualifications • Direct clinical practice experience post-master's degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility. • Minimum of a Master's degree in Behavioral/Mental Health or related field. • Unencumbered Behavioral Health clinical license in the state where they work (LCSW, LPC, LMSW, LMFT). Requirements • 75% travel required to meet in person with members in Tarrant or Dallas counties and surrounding areas. • Must possess reliable transportation and be willing and able to travel up to 75% of the time. • Mileage is reimbursed per company expense reimbursement policy. Benefits • Affordable medical plan options. • 401(k) plan (including matching company contributions). • Employee stock purchase plan. • No-cost programs for all colleagues including wellness screenings, tobacco cessation, and weight management programs. • Confidential counseling and financial coaching. • Paid time off, flexible work schedules, family leave, and dependent care resources. • Colleague assistance programs, tuition assistance, and retiree medical access. Apply tot his job Apply To this Job