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Behavioral Health Case Manager

Behavioral Health Case Manager

SGS ConsultingMichigan, United States, United States
12 hours ago
Job type
  • Full-time
Job description

SHIFT : Monday-Friday 8 : 00 am-5 : 00 pm

Description :

  • Fully Remote. Telephonic Work. No field work needed for this role.
  • Must have an LPC or LMSW - Unrestricted and Active in State of Michigan
  • The Case Manager utilizes a collaborative process of Assessment, Planning, Facilitation and Advocacy for options and services to meet an Individual's Benefit Plan and / or health needs through communication and available resources to promote optimal, cost-effective outcomes.
  • Through the use of clinical tools and information / data review, conducts comprehensive assessments of referred members' needs / eligibility and determines approach to case resolution and / or meeting needs by evaluating members' benefit plan and available internal and external programs / services
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Duties :

  • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators that impact care planning and resolution of member issues.
  • Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.
  • Provides crisis follow-up to members to help ensure they are receiving the appropriate Treatment / Services.
  • Application and / or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and / or members’ needs to ensure appropriate administration of benefits
  • Using a holistic approach, consults with supervisors, Medical Directors and / or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain a multidisciplinary view in order to achieve optimal outcomes
  • Ability to speak to medical and behavioral health professionals to influence appropriate member care.
  • Utilizes influencing / motivational interviewing skills to ensure maximum member engagement and promotes lifestyle / behavior changes to achieve the optimum level of health
  • Required Qualification :

  • 3+ years of Direct Clinical Experience
  • Case Management experience preferred
  • Must have an LPC or LMSW - Unrestricted and Active in State of Michigan
  • Case Management Certification CCM preferred.
  • Effective communication skills, both verbal and written.
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    Behavioral Health Case Manager • Michigan, United States, United States

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