Manager

• The Behavioral Health Case Manager II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse needs.
• Responds to more complex cases and account specific requests
• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs
• Conducts assessments to identify individual needs and develops specific care plan
• Monitors and evaluates effectiveness of care plan and modifies plan as needed
• Supports member access to appropriate quality and cost effective care
• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers
• Serves as a resource to other Behavioral Health Case Managers
• Participates in cross-functional teams projects and initiatives

Behavioral Health Case Manager II

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