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Behavioral Case Manager

St. Louis, MO 63105

Post Date: 06/19/18 Job ID: 45517 Industry: Program Manager

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

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