This Fortune 500 client 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. Currently, they are seeking a Behavioral Case Manager to assist with the Integrated Case Management functions, which could include working with members identified as high risk, identifying needs and goals to achieve empowerment, and improve quality of life for both behavioral and physical health issues.
Position: Direct Hire
Location: Bedford, NH
Similar Positions: Psychologist, Behavioral Health Manager, Psychiatrist
Responsibilities of the Behavioral Case Manager:
Assess member s current functional level and develop/monitor the Case Management Care Plan
Assist with discharge planning, participate in special clinical projects, and communicate with department staff to facilitate daily operations
Collaborate with medical and behavioral health providers to ensure optimal care for members
Understand and comply with NCQA guidelines and HEDIS measures
Establish pre-certification and authorization policies and procedures
Requirements of the Behavioral Case Manager:
Master s degree in Behavioral Health required
An unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN.
3+ years of case management and/or utilization management experience
Experience in psychiatric and medical health care settings
Working knowledge of mental health community resources