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Clinical Care Manager in Rochester, NY at Beacon Health Options

Date Posted: 5/22/2019

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Clinical Care Manager to join our team at our office in Buffalo or Rochester, NY!  The Clinical Case Manager – Intensive Case Manager is responsible for outreaching, triaging, assessing, and managing of members referred to Case Management. Responsible for the tracking and managing of members who are significant clinical risk and in need of linkage to services and coordination of care. 

General Competencies

  • Demonstrated experience effectively engaging with members and providers
  • Familiarity with managed care and health plan case management
  • Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills.
  • Case Managers are required to be educated in current principles, procedures and knowledge domains of case management based on nationally recognized standards of case management
  • Case managers must practice within the scope of their license.
  • Excellent written and oral communication skills

Position Responsibilities:

Telephonic outreach and engagement of assigned members

  1. May conduct in person, face to face outreach visits, at provider facilities and in the community, as needed, to facilitate engagement, assessment and care planning.
  2. Independent and individualized assessment of members enrolled in ICM.
  3. Development of a member centric care plan in collaboration with the member and his/her treatment team
  4. Facilitation of interventions and services appropriate to the member’s clinical status and available resources. 
  5. Managing, coordinating care, and identifying strategies to meet care plan goals of assigned ICM Members
  6. Collaboration and communication with Primary Care Providers and community based providers.
  7. Utilization Review for designated ICM Clients/ Case Management Clients for diversionary levels of care
  8. Assist in collection of outcomes information, annual analysis and other reporting and initiatives
  9. Participation in telephonic and in person case conferences and care planning meetings with members, providers, PCPs and community agencies.
  10. Provides case management in compliance with regulatory and accreditation requirements
  11. Response to urgent and crisis calls from members
  12. Promotes member safety and recovery goals
  13. Participation in internal Clinical Rounds and Clinical Rounds with Health Plan partners
  14. Utilization Review for designated ICM/Case Management Clients for some diversionary levels of care
  15. Compliance with all documentation and  training requirements
  16. Utilization Review of non-ICM/Case Management members as needed
  17. Other duties as assigned

Position Requirements:

Education : Master’s Degree or higher or RN

  • : Have either a current, valid, unrestricted independent license in behavioral health or nursing (RN) and practice within the scope of their licensure
    Relevant Work Experience:  Minimum of two (2) years of combined direct behavioral health clinical and managed care experience

Knowledge, Skills & Abilities :

  • Behavioral health
  • Case Management
  • Managed Care

TO APPLY

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

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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