Job Description

Job Description

Job Description

Position Summary:

As an integral member of the care management team the Behavioral Health (BH) Care Manager (CM) will have the opportunity to make a profound impact on the lives of individuals living with complex and/ or chronic Behavioral Health conditions, many of whom also face multiple barriers in their lives which makes it difficult for them to achieve the self-care required to improve their health and well-being. This position requires flexibility, creativity, and may vary from day-to-day to meet members where they are. Outreach methods may vary and may include telephonic or in person in a variety of potential settings such as but not limited to, the health center, community, home, or inpatient facility.

Essential Duties and Responsibilities :

• Conducts Comprehensive Clinical Assessments  
• Engages members and care givers in active care planning with a focus on medical, behavioral, social, member-centered care needs. Coaches and guides member/representative to meet bio/psycho/social care goals. 
• Assess the member’s knowledge of their medical, behavioral health, and/or social conditions and provides education and self-management support based on the member’s needs and preferences. 
• Work with the member to develop a self-management plan  
• Coordinate care with the member's providers such as the primary care team, facilitate medication reconciliation with pharmacist, RN and/or primary care team.  
• Provide care coordination, which may include but is not limited to facilitating care transitions, supporting the completion of referrals, and/or providing or confirming appropriate follow-up.  
• Manage treatment access and follow up with members with coexisting medical and behavioral disorders  
• Use motivation interviewing and coaching to help patients to increase their motivation and commitment to change their behavior and to strengthen their motivation for and movement toward a specific goal. 
• Participates in the integrated care team meetings and rounds as required. 
• Maintain accurate, timely documentation in electronic systems including health center Electronic Health Records (EHRs) 
• Other duties as assigned. 

Qualifications and Education Requirements:

Education and Experience:

Licensed Clinical Social Worker (LCSW or LICSW), or Licensed Mental Health Counselor (LMHC). Master’s Degree in Psychology, Social Work, or related field preferred.

Minimum 2-5 years of experience providing patient-centered outreach, behavioral health services, needs assessment and support.

Reports to the Director of Care Management

Job Tags

Similar Jobs