Clinical Case Manager Behavioral Health - Field in Atlantic and Cape May Counties, NJ

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As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Must live in Atlantic or Cape May County New Jersey and Must possess reliable transportation and be willing and able to travel up to 75%of the time in Atlantic/Cape May County and surrounding counties. Mileage is reimbursed per our company expense reimbursement

Position Summary 

The Case Manager for Managed Long-Term Services and Supports (MLTSS) plays a vital role in coordinating and delivering long-term care services to individuals with disabilities and older adults. MLTSS integrates the principles of managed care with Long-Term Services and Supports (LTSS), aiming to enhance care quality, promote independence, and manage Medicaid expenditures effectively.

In this role, the Case Manager works closely with members, their families, and healthcare providers to assess individual needs and develop personalized care plans. Responsibilities include conducting regular face-to-face visits, ensuring access to home and community-based services (HCBS), and facilitating care coordination across various settings.

Key Responsibilities:

• Conduct health assessments and develop individualized care plans.
• Coordinate services to support daily living activities such as bathing, dressing, and eating.
• Facilitate access to HCBS and promote member independence.
• Perform scheduled visits:
• Every 6 months for members in nursing homes.
• Every 3 months for members in assisted living facilities.
• Every 3 months for members in private or family homes.
• Collaborate with providers and families to ensure integrated and efficient care delivery.
• Support the goals of MLTSS, including improved health outcomes, enhanced member satisfaction, and cost-effective service delivery.

Ideal Candidate

• Knowledge of managed care principles and LTSS.
• Strong interpersonal and communication skills.
• Ability to work independently and manage a caseload.
• Commitment to improving the lives of vulnerable populations through compassionate and coordinated care.

  

Required Qualifications 

• Licensed Clinical Social Worker, or Licensed Social Worker in New Jersey.  

• 2+ years Behavioral Health experience/expertise required. 

• Must possess reliable transportation and be willing and able to travel up to 75% of the time in Atlantic and Cape May Counties as well as the surrounding areas. Mileage and tolls are reimbursed per our company expense reimbursement

• Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.  

  

Preferred Qualifications 

• Case management and/or discharge planning experience preferred. 

• Managed Care experience preferred  

• Crisis intervention skills preferred  

  

Education 

• Master's Degree. 

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$72,627.00 - $155,538.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offe