CARE MANAGER in Dallas, TX at Beacon Health Options

Date Posted: 5/29/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Care Manager to join our team at our office in Dallas, TX.  The Care Manager will be responsible for providing care management to Beacon members on an ongoing basis, within the member’s benefit package.  The Case Manager will initiate and maintain communication with members, members’ families, primary care physicians, behavioral health providers and other health team members regarding care management plans, in order to collaborate to meet member’s identified needs. The Case Manager is responsible for conducting outreach, assessment, and care coordination for identified case management enrollees.  The Case Manager works in collaboration with health plan staff and others to ensure quality, and effective, service and support to members.

Position Responsibilities:

  • Completes comprehensive assessment of the medical, behavioral health and psychosocial needs of identified members, in order to establish, and implement, culturally competent care management plans to address identified needs. Referrals for case management may originate from members, or their families, the health plan, enrollment or trigger reports, or other case identification sources.

  • Completes face-to-face visits with members and their families within inpatient settings and/or their homes, as needed.

  • Creates patient-centered and culturally competent Individualized Care Plan (ICP) to include problem identification, goal setting, interventions and expected outcomes.

  • Facilitates and coordinate the appropriate services and supports to meet the needs of enrollees, particularly high-risk populations.

  • Provides health coaching and education to members related to health care conditions and treatment plans with a focus on medication and treatment adherence, appropriate use of emergency room, and navigation of the health care system.

  • Directs members to self-management tools and resources and support in their use.

  • Collaborates with medical care managers, pharmacy staff and other community stakeholders to develop a comprehensive and integrated approach to care coordination.

  • Participates in clinical rounds to promote integrated case discussions and solution-focused outcomes.

  • Makes timely referrals for community based services.

  • Manages members experiencing crisis episodes and facilitates coordination of care as needed.

  • Documents case management activities in approved platforms according to Beacon standard operating procedures.

  • Demonstrates flexibility and creativity in the design of innovative and individualized care plans in order to achieve maximum effectiveness and optimal outcomes for members and their families.

  • Travels to secondary site locations, facility sites and/or community based health care provider sites as required by Beacon and/or health plan business needs.

  • Participates in facility based treatment team meetings to support integrated efforts and collaboration with the health care team.

  • Provides assistance, advocacy, and empowerment to members in efforts to achieve optimal health.

  • Adheres to all Beacon policies and procedures and standards of operations.

  • Completes all required and assigned trainings.

  • Attends all mandatory company or department meetings.

  • Reports to each scheduled shift on time; commences work and performs essential job functions at the start of each schedule shift.

  • Displays a positive, constructive, and helpful demeanor that is conducive to a safe and respectful work environment.

  • Serves as a mentor to junior team members through leadership and guidance based on integrity, positive example and a sense of team cohesiveness.

  • Assists team members and offers suggestions to improve processes, training, culture, or work environment.

  • Performs special projects and other duties as assigned and required.

Position Requirements:

Education: Master’s degree in mental health related discipline.

Licensure: Valid, unrestricted license as a (LCSW, LMFT or LPC) behavioral health clinician.

Relevant Work Experience:  

  • At least two years’ experience in community or managed behavioral health care setting.

  • Extensive knowledge in current principles and procedures of behavior health care.

  • Knowledge of managed care and state specific expertise preferred.

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

  • Experience meeting strict deadlines and established cycle times through effective prioritization and follow-up.

Certified Case Manager (CCM) preferred

Knowledge, Skills & Abilities:

Excellent written and verbal communication skills

Excellent analytical skills

Strong computer skills

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options company, 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

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