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Behavioral Case Manager

Springfield, IL 62704

Post Date: 06/19/18 Job ID: 45866 Industry: Medical Administrator

HireLevel powered by Extra Help is seeking a Behavioral Case Manager in Springfield, IL. Our client is a fortune 500 company who is a nation-wide leader in the healthcare services field and they pride themselves on their ability to provide a wide range of government sponsored healthcare programs; including a variety of insurance solutions. The ideal candidate perform duties related to the day to day operations of the Integrated Case Management functions.

Position: 6 month contract with possible extension

Pay: $26+/hour Based on Experience

Location: Springfield, IL

Similar Positions: Social Work, Nursing, Behavioral Science

Responsibilities of the Behavioral Case Manager:
  • Work telephonically with patients identified as high risk, for both behavioral and physical health issues, and their providers to identify needs, set goals and implement action steps towards achieving goals. Empower patients to help them improve their quality of life and ensure an integrated approach to address complex issues.
  • Understand and comply with NCQA guidelines and HEDIS measures.
  • Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.
  • Work with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues.
  • Assess members current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care.
  • Assist with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the Integrated Case Management functions.
  • Collaborate with both medical and behavioral providers to ensure optimal care for members.

Requirements of the Behavioral Case Manager:
  • Education/Experience: Master s degree in behavioral health and an unrestricted license as a LCSW, LMFT or LPC, or a PhD, PsyD or RN.
  • 3+ years of case and/or utilization management experience. Experience in psychiatric and medical health care settings. Working knowledge of mental health community resources.
  • License/Certification: Unrestricted license as a LCSW, LMHC, LMSW LMFT, LPC, PhD, PsyD or RN license in applicable state.
  • For the IDD populations: Education/Experience: Master s degree in behavioral health and an unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD, RN, ABA, or BCBA. ABA or BCBA highly preferred. 3+ years of case and/or utilization management experience. Experience in psychiatric and medical health care settings. Working knowledge of mental health community resources.
  • License/Certification: Unrestricted license as a LCSW, LMHC, LMSW LMFT, LPC, PhD, PsyD, RN, ABA or BCBA license in applicable state. ABA or BCBA highly preferred.
  • Must meet background and drug screening requirements

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