Behavioral Health Case Manager (Michigan)SGS Consulting • Michigan, United States, US
Behavioral Health Case Manager (Michigan)
SGS Consulting • Michigan, United States, US
12 hours ago
Job type
Part-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, US
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