CARE MANAGER in Cypress, CA at Beacon Health Options

Date Posted: 9/21/2018

Job Snapshot

Job Description

ABOUT THE POSITION
We are currently seeking a dynamic Care Manager to join our team at our office in Cypress, CA.  The Care Manager will be responsible for coordinating integrated, seamless and person-centered service in support of members who are dually eligible under Medicare and Medicaid programs in Los Angeles County.  Require communiting to LA County. 

Position Responsibilities:

  • Provide holistic assessment and care and complex care planning and management services.

  • Coordinate amongst all Interdisciplinary Care Team (ICT) members to develop the Individualized Care Plan (ICP) and oversee ICP implementation by the Care Coordinator.

  • Be available to the health plan and community based Case Management provider agencies for consultation when issues with regards to behavioral health management or treatment arise.

  • 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

  • Identify, assess, and holistically manage complex behavioral health cases for those members who are in the dual eligible program as appropriate

Position Requirements:

Education:  BSN or higher, Master’s level in a behavioral health discipline: social work, counseling, psychology preferred.

Licensure: 

  • Have either a current, valid, unrestricted independent license in behavioral health or nursing (RN) with proof on date of hire and practice within the scope of their licensure.

  • Re-verification will take place no less than every 3 years. Valid California State Clinical License required (RN, LCSW, MFT, LPCC, PhD or PsyD)

Relevant Work Experience:  

Minimum of five (5) years of combined direct behavioral health clinical and managed care experience or community service required. Call center and customer service experience a plus

Knowledge, Skills & Abilities:

  • Demonstrated experience establishing relationships and effectively engaging with members and providers through telephonic communication to obtain necessary information and facilitate care in multiple settings.

  • Demonstrated work experience to influence and negotiate to effectively manage patient care and health care outcomes.

  • Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills.

2 days in the Cypress office and 20-30% field work in Los Angeles area (including IP facilities)

TO APPLY
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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
 

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