BH Clinical Care Manager, LMHC or LICSW
CareSource
full-time
Posted on:
Location Type: Hybrid
Location: Brockton • Massachusetts • United States
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Salary
💰 $90,000 - $120,000 per year
About the role
- Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship, while considering the cultural and linguistic needs of each member.
- Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions.
- Perform required assessments on a timely basis, including but not limited to Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments
- Engage enrollees in care plan development and implementation, providing routine updates as the enrollee’s status changes
- Lead the interdisciplinary care team (ICT) and collaborate with peers both internal and external to the organization, to create holistic care plans that address medical and non-medical needs.
- Oversee enrollee utilization of long-term services and supports, ensuring appropriate systems are in place for enrollees to remain in the location of their choice
- Assist members in accessing community resources, including housing, transportation, food assistance, and social services.
- Educate members about their benefits and available services under both Medicare and Medicaid.
- Provide education to members and their families about managing chronic conditions, medication adherence, and preventive care.
- Promote healthy lifestyle choices and self-management strategies.
- Assist enrollees in preventative health strategies, including gap closure
- Follow up with members after hospitalizations or significant health events to ensure continuity of care and prevent readmissions.
- Work closely with primary care physicians, specialists, and other healthcare providers to coordinate care and share relevant information.
- Coordinate with community-based organizations, other stakeholders/entities, state agencies, and other service providers to ensure coordination and avoid duplication of services.
- Advocate for the needs and preferences of enrollees within the healthcare system.
- Evaluate member satisfaction through open communication and monitoring of concerns or issues.
- Regular travel to conduct member, provider and community-based visits as required
Requirements
- Associates of Science (A.S) degree in nursing from an accredited nursing program required or Master's degree in social work or mental health counseling and independent license required
- Three (3) years of experience as a Registered Nurse/BH Clinician or One (1) year as a Registered Nurse/BH Clinician with two (2) years of experience working with people with complex medical, behavioral and social needs as an LPN, CHW, MA required
- Prior experience in care coordination, case management, or working with dual-eligible populations preferred
- Medicaid and/or Medicare managed care experience preferred
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel.
- Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries.
- Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers
- Ability to manage multiple cases and priorities while maintaining attention to detail.
- Adhere to code of ethics that aligns with professional practice.
- Awareness of and sensitivity to the diverse backgrounds and needs of the populations served
- Decision making and problem-solving skills.
- Ability to function independently and effectively as part of an interdisciplinary team
Benefits
- Health insurance
- 401(k) matching
- Flexible working hours
- Paid time off
- Remote work options
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
care coordinationcase managementcomprehensive assessmentMDS-HC functional assessmentscrisis assessmentspreventive carechronic condition managementmedication adherencegap closureinterdisciplinary care
Soft Skills
interpersonal skillscommunication skillsattention to detaildecision makingproblem-solvingadvocacycultural sensitivityindependencecollaborationmember engagement
Certifications
A.S. degree in nursingMaster's degree in social workindependent license in mental health counseling