Schedule is Monday-Friday 8am
5pm
One late day/night a week
No weekends and no holidays
This is fully telework role
West Coast Hours ONLY
Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning
Conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution
Performs crisis intervention with members experiencing behavioral health or medical crisis
Provides crisis follow-up to members to help ensure they are receiving the appropriate treatment/services
Application and/or interpretation of applicable criteria and clinical guidelines
Consults with supervisors, Medical Directors and/or other programs to overcome barriers
Identifies and escalates quality of care issues through established channels
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement
Provides coaching, information and support to empower the member

Masters prepared behavioral health clinician with unrestricted Independent Behavioral Health licenses in the state where they work (LPC, LCSW, LISW, LMFT, LCMHC, PsyD)
3+ years of direct clinical practice experience post master's degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
3+ years experience with mental health and/or substance abuse disorders
3+ years Microsoft Suite experience (eg. Word, Excel)
3+ years using documentation systems

Clinical Case Manager – Behavioral Health

Key skills