Behavior Health Care Manager

Position Purpose : The Behavioral Health Care Manager is a core member of Steward’s collaborative care team, providing care management and care coordination to manage members with severe mental illness who have high rates of behavioral health utilization and / or severe psychosocial vulnerability.

The behavioral health care manager collaborates closely with the patient’s primary care provider and psychiatric consultant to develop, implement and evaluate a plan of care tailored to the patient’s unique needs.

Provides support and / or intervention and assists members in understanding the implications and complexities of their current medical situation and / or overall personal care.

• Assesses, plans, implements, monitors and evaluates options and services to meet complex psychosocial health needs of outpatient members
• Conducts comprehensive member assessments and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs.
• Provides care coordination and care management to members with severe mental illness who have high rates of behavioral health utilization and / or severe psychosocial vulnerability.

Works towards achievement of optimal clinical and resource outcomes.

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 member's care plan and collaborates with providers.

• Acts as a liaison and member advocate between the member / family, physician and facilities / agencies.
• Provides clinical consultation to physicians, professional staff and other teams members / supervisors to provide optimal quality patient care and effective operations.
• Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address medical needs.

Reviews benefits options, researches community resources, trains / creates behavioral routines and enables members to be active participants in their own healthcare.

• Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services.
• Assists in obtaining benefits for members through community resources when benefits are exhausted or not available.
• Performs other duties as assigned.
• Interprets psychiatric treatment to patient’s family and helps to reduce fear and other attitudes obstructing acceptance of psychiatric care and continuation of treatment.
• Makes referrals to case managers, as appropriate, and / or refers patient’s family to community

Education :

• Required Bachelor’s degree in Social Work, Psychology, Counseling, Rehabilitation, or another relevant field
• Preferred Master’s degree in Social Work, Psychology, Counseling, Rehabilitation, or another relevant field

Years of Experience :

• Required 2 years of experience in behavioral health management and / or acute behavioral health care setting focusing on outpatient / inpatient utilization, case management and discharge planning
• Preferred experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
• Preferred experience in a managed care environment and experience in current case management as a licensed professional
• Preferred experience working in a post-acute care environment.

Preferred Relevant Licensures :

• License eligible Mental Health Counselor
• Licensed Registered Nurse (RN)
• Licensed Clinical Social Worker (LCSW) LSW, LCSW, LMHC, LPC, LMFT, PsyD
• Licensed Clinical Mental Health Counselor (LCMHC)
• Licensed Clinical Professional Counselor (LCPC)
• Licensed Clinical Marriage & Family Therapist (LCMFT)
• Licensed Clinical Psychologist (LCP)
• Licensed Master Social Work (LMSW)
• Certified Social Worker (C-SW)
• Acute Care Nurse Practitioner (APRN) (ACNP-BC)

Specialized Knowledge :

• Must be able to effectively communicate with patients, family members, case managers, treating physicians, and community organizations.
• Must possess the clinical skills to engage individuals and families in helping relationships.
• Must be able to cope with the pressure of time limitations while respecting the needs of the patient and the requirements of the organization / department.
• Ability to act in solving problems while exhibiting judgment and a realistic understanding of issues; able to use reason, even when dealing with emotional topics.
• Ability to remain open-minded and change opinions on the basis of information, perform a wide variety of tasks and change focus quickly as demands change, and manage transitions effectively from task to task.
• Must possess a strong belief in an organizational culture that values optimal care and excellence practices, demonstrated through personal behavior and work ethic.
• Must possess a strong belief in diversity, health equity and inclusion, promoted through best practices with patients, as well as within the organization.
• Ability to travel, including valid driver’s license and auto liability insurance coverage according to company policy.
• Must possess the ability to present and explain complex material to physicians and other providers and member populations in a professional manner.
30+ days ago