CARE MANAGER in Fort Worth, TX at Beacon Health Options

Date Posted: 2/8/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Care Manager with an active clinical license to join our Texas team. The Care Manager will use clinical and CMSA standards to provide care management to beacon members on an ongoing basis, within the members benefit package. The Care Manager will initiate and maintain communication with members, Primary Care Physicians, Behavioral Health Providers and other health team members regarding care management plans to collaborate and meet members’ needs.  The Care Manager is responsible for conducting outreach, assessment and care coordination/management for identified Intensive Case Management enrollees.  The Care Manager works closely with health plan medical care managers, social care managers and others to ensure quality and effective service and support to members.

Position Responsibilities:

  • Completes a comprehensive assessment of the medical, behavioral health and psychosocial needs of identified members and their families when delegated by the health plan through the ICM assessment process, enrollment and trigger reports, and other case identification sources, and establishing and implementing culturally competent care management plans to meet the needs of members.

  • Completes face to face visits with members and their families within inpatient settings and/or their homes on an as needed basis.

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

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

  • Provide 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.

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

  • Collaborate with medical and social care managers and Pharmacy to develop a comprehensive and integrated approach to care coordination.

Position Requirements:

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

Licensure: Current, valid and unrestricted license as a (LCSW, LMFT or LPC) behavioral health clinician. Clinical Care Manager Certification preferred.

Relevant Work Experience: At least two (2) years’ experience in community or managed behavioral health care setting. A professional educated in current principles and procedures of behavior health care. Knowledge of managed care and State specific expertise preferred. 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.

Knowledge, Skills & Abilities:

  • Strong customer service orientation and excellent written and verbal communications skills.

  • Knowledge of treatment care resources and levels of care available.

  • Ability to function in interdisciplinary setting.

    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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