CARE MANAGER (Clinical License required RN, LCSW, MFT, LPCC, PhD or Ps

Job Family
Clinical, Licensed

Job Brief

The Clinical Care Manager will be responsible for coordinating integrated, seamless and person-centered service in support of members who are dually eligible under Medicare and Medicaid programs.

ABOUT THE POSITION

We are currently seeking a dynamic Care Manager to join our team at our office in Monterey Park, CA. The Clinical Care Manager will be responsible for coordinating integrated, seamless and person-centered service in support of members who are dually eligible under Medicare and Medicaid programs.

Must be willing to travel to the following site locations: Monterey Park, Cypress, and work remotely 1 day a week

Position Responsibilities:

• Provide holistic assessment and care and complex care planning and management services.
• Coordinate amongst all Interdisciplinary Care Team (ICT) members to develop the Individualized Care Plan (ICP) and oversee ICP implementation by the Care Coordinator.
• Be available to the health plan and community based Case Management provider agencies for consultation when issues with regards to behavioral health management or treatment arise.
• Facilitate clinical policies implementation and maintenance, assess training and development needs for, and identify clinical resources and tools to improve program effectiveness and quality. S/He will be responsible for maintaining accurate information in Beacon’s and the Health Plan’s clinical documentation systems as directed
• Identify, assess, and holistically manage complex behavioral health cases for those members who are in the dual eligible program as appropriate

  Position Requirements:

  Education: BSN or higher, Master’s level in a behavioral health discipline: social work, counseling, psychology preferred.

  Licensure:

• Re-verification will take place no less than every 3 years. Valid California State Clinical License required (RN, LCSW, MFT, LPCC, PhD or PsyD)
• Have either a current, valid, unrestricted independent license in behavioral health or nursing (RN) with proof on date of hire and practice within the scope of their licensure.

Relevant Work Experience: Minimum of five (5) years of combined direct behavioral health clinical and managed care experience or community service required. Call center and customer service experience a plus

Knowledge, Skills & Abilities:

• Demonstrated experience establishing relationships and effectively engaging with members and providers through telephonic communication to obtain necessary information and facilitate care in multiple settings.
• Demonstrated work experience to influence and negotiate to effectively manage patient care and health care outcomes.
• Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills.

TO APPLY

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Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

$NFD

#CB

PM16

AAP Reporting Location:

CA – Cypress

ID (Req #):

56544

FTE Status:

Full Time

Schedule:

Monday – Friday 8:30 a.m. to 5:00 p.m.

Exempt