Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
As a Clinical Case Manager – Behavioral Health (Licensed), you will use your clinical expertise to provide comprehensive case management, crisis intervention, and care coordination that improves outcomes and supports whole-person health.
Responsibilities
- Conduct comprehensive behavioral health assessments using clinical tools, data analysis, and benefit plan reviews
- Develop individualized care plans that address both behavioral and physical health needs
- Coordinate care with providers, community organizations, and support services
- Apply advanced clinical judgment to identify and mitigate risk factors impacting member outcomes
- Perform crisis intervention for members experiencing behavioral health or medical crises and ensure appropriate referrals and follow-up
- Utilize Motivational Interviewing techniques to engage members and promote sustainable behavior change
- Coordinate psychosocial wraparound services and connect members with community resources
- Support cost-effective care through proactive care planning and resource utilization
Requirements
- Master's degree in Behavioral Health, Social Work, Counseling, Psychology, or a related field
- Active, unrestricted independent behavioral health license in your state of residence (e.g., LCSW, LISW, LMFT, LPC, LCPC, LPCC, LMHC, or equivalent)
- 3+ years of post-master's direct clinical experience in a hospital, ambulatory, outpatient, or similar clinical setting
- 3+ years of experience treating mental health and substance use disorders
- 3+ years of experience utilizing Motivational Interviewing techniques
- Case Management experience
- Ability to simultaneously talk on the phone and document in clinical systems
- Strong technical proficiency and comfort working in a virtual environment
Preferred Qualifications
- Crisis intervention experience
- Managed Care experience
- Utilization Review or Utilization Management experience
- Discharge Planning experience
- Experience working with complex behavioral health populations
Benefits
- Fully remote position available anywhere in the United States
- Consistent Monday–Friday schedule
- No weekends or holidays
- Meaningful work supporting members with complex behavioral health needs
- Collaborative clinical environment with opportunities for professional growth
- Ability to make a measurable impact on member outcomes and quality of life
- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources