Location: Virtual within the state of Ohio; could require some community-based work occasionally
Shift: Monday - Friday; 8:00am - 5:00pm ET
*Candidate must live and be licensed within the state of Ohio*
The Behavioral Health Case Manager Lead is responsible for coordinating operations and workflows related to care management activities that support the Case Management Program.
How you will make an impact:
Provides support to member facing BH Case Mgrs and other Care management associates.
Provides oversight of program referrals and works with referral sources to ensure accurate and timely case assignment.
Coordinates with cross functional teams to ensure team collaboration member touch points and organization vision of integration is achieved.
Facilitates weekly clinical rounds and may conduct quality audits.
Works with the manager to ensure individual team and overall operational metrics are achieved.
Supports various projects and initiatives as assigned.
Assists with process improvement activities for regulatory requirements.
Acts as departmental liaison to other areas of the business unit.
Primary support with training/mentoring new hires.
Participates in cross-functional teams projects and initiatives.
Serves as a member of the leadership team.
Minimum Requirements:
Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 5 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
Current active unrestricted license such as RN LCSW LMHC LICSW LPC LSW (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
Extensive experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.
Managed care experience required.
For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.
For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.
Preferred skills, capabilities, and experiences:
Experience in health coaching and motivational interviewing techniques preferred.
