Description
We're seeking a Clinical Case Manager to join our team, working remotely full-time, Monday-Friday, with standard business hours and no nights or weekends.
As a Clinical Case Manager, you will utilise advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioural healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services.
Key responsibilities include:
- Conducting telephonic clinical case management with the Medicare population
- Using Motivational Interviewing and engagement interventions to optimise member participation in case management programs
- Completing a Comprehensive Assessment and Plan of care
- Documenting in clinical systems to support legacy Aetna and Coventry membership
- Providing BH consultation and collaboration with Aetna partners
- Participating actively in clinical treatment rounds and team activities focused on program development
- Assisting members with locating community-based behavioural health resources
The majority of your time will be spent at a desk on telephonic member outreaches and computer documentation.
Requirements:
- 3+ years of direct clinical practice experience in behavioural health
- An active and unrestricted clinical behavioural health license in your state of residence (e.g., LPC, LCSW, LMFT, LISW)
- Residential broadband service with internet speeds of at least 25 mbps/3mbps
- Minimum of a Master's degree in Behavioural/Mental Health or a related field (e.g., Social Work, Counselling, Psychology)
Preferred Qualifications:
- Crisis intervention skills
- Managed care/utilisation review experience
- Case management and discharge planning experience
- Motivational Interviewing experience
- Time management and organisational skills with the ability to multi-task in a fast-paced environment
What We Offer:
- Competitive salary range: $60,522.00 - $129,615.00 per year
- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs
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