Description
We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.
Job Summary: This is a fully remote role in the USA, working Monday to Friday from 8:00 AM to 5:00 PM EST, with no weekends or holidays.
As a Clinical Case Manager, you will utilize advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services.
Key Responsibilities:
- Conduct comprehensive assessments of referred members' needs and eligibility, determining approaches to case resolution and/or meeting needs by evaluating members' benefit plans and available internal and external programs/services.
- Apply clinical judgment to incorporate strategies designed to reduce risk factors and address complex clinical indicators impacting care planning and resolution of member issues.
- Perform crisis intervention with members experiencing behavioral health or medical crises and refer them to appropriate clinical providers for thorough assessment and treatment.
- Collaborate with supervisors, Medical Directors, and other programs to overcome barriers to meeting goals and objectives.
- Identify and escalate quality of care issues through established channels.
- Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
Requirements:
- 3+ years of direct clinical practice experience post-master's degree.
- 3+ years of knowledge of mental health and substance abuse disorders.
- 3+ years of experience with multitasking (talking, speaking on the telephone, and typing at the same time).
- Valid, unrestricted independent professional behavioral health clinical license (e.g., LCSW, LSW, LISW, LCPC, LP, LMFT, LMHC).
- Master's degree in Social Work or Counseling required.
Preferred Qualifications:
- Crisis intervention skills.
- Managed care/utilization review experience.
- Case management and discharge planning experience.
What We Offer:
- Competitive salary range: $54,095.00 - $116,760.00 per year.
- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.