Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes
Evaluates the needs of the member via phone or in-home visits related to the resources available
Recommends and/or facilitates the care plan/service plan for the best outcome
May perform telephonic, digital, home and/or other site visits outreach to assess member needs
Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care
Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms
Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services

Active New Jersey license required
Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience
Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required
For NJ Health Plan Only: Requires a Master's degree in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required

Care Manager, Behavioral Health

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