Care Manager in San Diego, CA at Beacon Health Options

Date Posted: 1/16/2020

Job Snapshot

Job Description

We Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a ‘world-class’ candidate experience from the moment you click ‘Apply’! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

Beacon is currently seeking a Care Manager a highly organized and compassionate professional to join our team at our San Diego, CA. 

The Care Manager is the health professional (Psychiatric RN or other independently licensed Behavioral Health Clinician)for the Dual Eligible program responsible for the coordination of integrated, seamless and person-centered service in support of members who are dually eligible under Medicare and Medicaid programs.

The Care Manager provides holistic assessment and care, as well as complex care planning and management services.

The Care Manager will coordinate among all Interdisciplinary Care Team (ICT) members to develop the Individualized Care Plan (ICP) and oversee ICP implementation by the Care Coordinator. S/he is available to the health plan and community based Case Management provider agencies for consultation when issues with regard to behavioral health management or treatment arise.

The Care Manager provides clinical oversight for Care Coordinators, Community Health Workers and other paraprofessional staff responsible for implementing the Individualized Care Plan (ICP). Additionally the Care Manager is responsible for authorization of services and coordination of care with any contracted community based Case Management agency when appropriate.

The Care Manager remains current in Case Management Society of America (CMSA) evidence based protocols, as well as the care management requirements and responsibilities of the dual demonstration project.

What does a typical day look like?

  1. Facilitate clinical policies implementation and maintenance, assess training and development needs for, and identify clinical resources and tools to improve program effectiveness and quality. S/He will be responsible for maintaining accurate information in Beacon’s and the Health Plan’s clinical documentation systems as directed;
  2. Work collaboratively to coordinate a supportive environment and clear communication;
  3. Provide coaching to Care Coordinators and Service Coordinators related to clinical decisions and outcomes;
  4. Identify, assess, and holistically manage complex behavioral health cases for those members who are in the dual eligible program as appropriate;
  5. Provide individualized person-centered support to members. Provide health coaching and wellness education as appropriate;
  6. Develop or oversee the ICP for each member in collaboration with all team members, adhering to timelines and including assessment of health needs, individualized care management plans, implementation, monitoring and evaluation of care outcomes;
  7. Collaborate with Primary Care Physician (PCP), Behavioral Health Professionals (BHP), and other members of the health care team, Health Plan Medical Care Managers, consumer advocates, Pharmacy, and others to arrange and coordinate services for the member to help member reach their highest level of functioning and optimize the member’s ability to engage in the appropriate plan of care;
  8. When delegated, oversee activities associated with member welcome and orientation. Ensure that initial member assessment and annual updates are completed and documented;
  9. Assess caseloads and modify as needed;
  10. Utilize the evidence based guides to identify problem areas;
  11. Collaborate with health plan medical lead when problems are identified;
  12. Collaborate with the Care Coordinator to update ICP as necessary;
  13. Authorize medically necessary services in ICP;
  14. Review medications at time of care transition;
  15. Complete the Beacon or Health Plan Health Risk Assessment (HRA) ongoing assessments per contractual agreement with the health plan;
  16. Manage and coordinate care. May conduct in-home assessments of barriers to health condition management, and conduct facility visits to meet members receiving in-patient behavioral health care to assist with discharge planning and engagement activities;

What you Contribute?

Education: Either Master’s level in a behavioral health discipline: social work, counseling, psychology or ADN or higher

Licensure:

Unrestricted CA clinical license (LCSW, LPCC, LMFT, RN, PsyD, or PhD)

Minimum 3 years Behavioral Health or Community Services required

Call Center, Customer Service experience a plus

 Knowledge, Skills & Abilities:

Other duties as assigned.

Strong interpersonal skills and good written and verbal communication skills.

Proficient computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint.

What Makes Us Different?

Here, it’s not just a job – it’s an opportunity to change lives.

Our employees are learners, innovators and original thinkers.

Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

Healthcare benefits available starting day 1!

Health & wellbeing incentives, such as gym membership reimbursement

401K with company match to help reach your future financial goals

Generous PTO, because we know life happens outside of work

Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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