LCSW Behavioral Health Case Manager
GuideWell Source
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Engage Members telephonically with a focus on identifying behavioral health risk factors, educating member on worsening signs and symptoms, and providing member education with a focus on self-management and adherence to dual diagnosis treatment plans.
- Plan, implement, coordinate and monitor Case Management activities that may include acute and non-acute services, outpatient services, other case management SMEs, the Community Health program and or community based resources.
- Facilitate access to care by removing barriers to improve care delivery and promote participation in treatment plan. Identifies resources to meet the member behavioral health care needs. Provide education and tools to promote self-determination and independence.
- Collaborate with Member, Member Physicians, Plan Medical Directors, Managers, Local, Regional and Specialty team members as well as other functional areas to assist the member to meet their health care goals.
- Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a better quality of life, for individuals with identified chronic conditions, costly and/or catastrophic illnesses.
- Assist with closing Risk Adjustment and care gaps
- Assist Members and their physicians to navigate through the health continuum, educate regarding benefits, identify candidates for Care Programs and provide information pertaining to the network and network access.
- Facilitate & document interdisciplinary care team meetings for at risk members as appropriate.
- Coaches and educates members, and their representative using Behavioral Change Models.
Requirements
- 4+ years related work experience in Managed Care, Home Healthcare, and Community Healthcare
- Master’s degree or additional related equivalent work experience in Social work, human services, psychology or related
- LCSW – State Licensed Medical Social Worker
- Experience in both the Healthcare Industry and Managed Care.
- Health Insurance Industry in a behavioral health field
- Experience working with MS Word and Excel
- RN may be substituted for LCSW
- Bilingual Spanish & English
- Experience in Dual diagnosis of Mental Health and Substance Abuse
- Telephonic Case Management Experience
- Experience working with adult/geriatric population
Benefits
- Medical, dental, vision, life and global travel health insurance
- Life insurance, Short- and long-term disability programs
- Leave programs to support personal circumstances.
- 401(k) includes employer contribution match
- Paid time off, volunteer time off, and 11 holidays
- Additional voluntary benefits options avaliable
- Comprehensive wellness program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
telephonic case managementbehavioral health risk assessmentdual diagnosis treatmentcare gap closurehealthcare navigationpatient educationbehavioral change modelscommunity health program coordinationinterdisciplinary care team facilitationchronic condition management
Soft skills
collaborationcommunicationcoachingeducationproblem-solvingself-determination promotionindependence supportrelationship buildingorganizational skillsadvocacy
Certifications
LCSWRN