Behavioral Health Case Manager

Location: Virtual- This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Shift: Monday-Friday 9:00-6:00PM

Be Part of an Extraordinary Team 

The Behavioral Health Case Manager is responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.

How you will make an impact:

Primary duties may include, but are not limited to:

• Carries a caseload of adult and adolescent member’s with BH, ED, and SUD needs.

• Makes daily outbound calls to enroll members (from a queue) and to keep members engaged.

• Takes inbound calls from members to assist with needs/resources or returning our outbound calls.

• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.

• Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment.

• Monitors and evaluates effectiveness of care plan and modifies plan as needed.

• Supports member access to appropriate quality and cost effective care.

• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.

Minimum Requirements:

• Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

• Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

Preferred Skills, Capabilities and Experiences:

• Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.