Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes.
Evaluates the needs of the member via phone or in-home visits.
Recommends and/or facilitates the care plan/service plan for the best outcome.
Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms.
Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services.
Requirements
Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.
Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required
For Sunshine Health (FL) Only: Employees supporting Florida's Children’s Medical Services must Hold a Master’s degree in social work or related field and have one year of related professional pediatric care experience.
May require up to 80% local travel required
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementcare coordinationclinical assessmenttreatment planningmonitoring outcomesbehavioral healthpediatric care