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Behavioral Health Case Manager
- Independent Health (Buffalo, NY)
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FIND YOUR FUTURE
We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.
Overview
The Behavioral Health Case Manager is primarily responsible for managing behavioral health benefits through the administration of quality improvement functions.
Qualifications
+ Licensed master’s social worker (LMSW), master’s in social work (MSW), licensed mental health counselor (LMHC), licensed professional counselor (LPC), licensed family or marriage therapist (LMFT) or active registered nurse (RN) in NYS required. Certified Case Manager (CCM) required. Candidates without CCM certification are required to obtain it within 2 years of commencing employment.
+ Two (2) years of experience in a behavioral health clinical and/or care coordination setting required.
+ Experience in a health plan/managed care setting, case management and/or quality improvement activities preferred.
+ Experience in health coaching and motivational interviewing techniques.
+ Excellent knowledge base of community resources and roles of various community agencies.
+ Ability to use MS Excel or Access for data collection and analyze data, assess outcome measurements, and intervene appropriately preferred.
+ Excellent interpersonal, written, and verbal communication skills.
+ Proficient computer and Windows skills required, including MS Office.
+ Exhibit creativity, self-motivation, flexibility, and effective problem-solving skills.
+ Self-starter with high level of accountability and responsibility.
+ Ability to work flexible hours and/or overtime as needed.
+ Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.
Essential Accountabilities
+ Develop a plan of care based upon providers of care clinical assessments and patients, to identified population along the continuum of care staying within their scope of case management practice and within accreditation standards and applicable regulation compliance.
+ Activities in one or more of these CM programs may include but not be limited to: identify eligible insured individuals from available data set(s); enrollment in applicable CM program; actively engage insured individual in CM program to achieve measurable CM goals; and discharge from CM program when appropriate.
+ Use appropriate screening criteria and clinical judgment to assess member needs.
+ Conduct assessments to identify individual needs and develop person centered care plans with goals identified during the assessment.
+ Monitor and evaluate effectiveness of care plan and modify plan as needed.
+ Coordinate with internal and external resources to meet identified needs of the members and collaborate with providers and community agencies.
+ Provide assistance to hospital/facility discharge planners to help coordinate post inpatient BH treatment continuity.
+ Collaborate with other departments such as Medical UM, Medical Case Management, and SIU for specific BH related case review, product/benefit development, claims, servicing and network as directed.
+ Review and provide input to policies, standard operating procedure (SOP) documents, reports and data related to BH CM programs.
+ Assist with the preparation of the annual program evaluations and Work Plans for the BH CM Programs.
+ Aid department efforts with quality improvement activities through data collection, measurement, reporting, evaluation, and evidence-based intervention development related to BH benefits and/or BH specialty providers.
+ Participate in identification, analysis, and evaluation of quantitative and qualitative CM program outcomes and recommend interventions for improvement and implement recommendations when appropriate.
+ Attend meetings as assigned.
+ Establish professional working relationships with other Independent Health Associates.
Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $33.50 - $38.00 hourly
_Compensation may vary based on factors including but not limited to skills, education, location and experience._
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
_As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law._ _Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information)_ _for additional EEO/AAP_ _or Reasonable Accommodation_ _information._
Current Associates must apply internally via the Job Hub app.
The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.
Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community.
We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog.
We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports.
Apply today and join us on the journey to a happier, healthier, and more inclusive community.
We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: [email protected] or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221.
_Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us._
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