Job ID: 52277
Location: Washington, DC
Category: Health Care, Management
Experience: At least 3 year(s)
Education: See Requirements
ABOUT THE POSITION
We are currently seeking a dynamic Intensive Case Manager to join our team at our office in Washington DC. The Intensive Case Manager will be responsible for outreaching, triaging, assessing, and managing of members referred to Case Management. Responsible for the tracking and managing of members identified as Intensive Case Management (ICM) who may be high risk, high utilizing, at significant clinical risk or under-utilizing services.
Become familiar with data resulting from critical processes, so that obvious data Outreach and engagement of members
Independent and individualized assessment of members enrolled in ICM.
Development of a member centric care plan in collaboration with the member and his/her treatment team
Managing, coordinating care, and identifying strategiesto meet care plan goals of assigned ICM Members
Collaboration with community based providers
Utilization Review for designated ICM Clients for diversionary levels of care
Assist in collection of outcomes information, annual analysis and other reporting and initiatives
Telephonic collaboration and coordination withprovider and communityagencies regarding ICM members and care planningmeetings as needed
Assist with NCQA and URAC initiatives
Education: Master’s Degree/ RN
Current, valid and unrestricted independent licensure for practice required with proof on date of hire. Re-verification will take place no less than every 3 years.
Relevant Work Experience: A minimum of 2 years of combined direct behavioral health clinical and managed care experience.
Behavioral Health - Expert level ability and knowledge
Case Management - High level of ability and knowledge
Managed Care - Basic level of competency and knowledge
Computer software - Basic level of competency and knowledge
Click below on “Apply for this Position” to create a profile and apply for the position
Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled