Behavioral Health Case Manager

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Oversee a diverse caseload of ongoing members alongside short-term cases.

• Deliver thorough care coordination and case management for dual-eligible members facing complex behavioral health challenges.

• Collaborate as part of an integrated care team to align both behavioral and physical health services.

• Work closely with members, caregivers, providers, and community resources.

• Ensure a seamless and coordinated care experience.

• Assist members in navigating their Medicare and Medicaid benefits.

• Advocate for enhanced health outcomes, improved access to care, and an overall better quality of life.

• Provide support for utilization management functions concerning complex and non-routine cases as required.

• Act as a liaison among members, providers, and customers to facilitate healthcare delivery and benefits programs.

• Manage highly complex cases to guarantee the effective execution of interventions.

• Conduct case management activities in community settings, including face-to-face interactions with members as needed.

⛳️ Requirements

• A current, active, unrestricted Tennessee license in Nursing (RN) or a behavioral health field at the Master's level or higher is required.

• A minimum of 3 years of experience in clinical behavioral health or substance use disorder is required.

• At least 1 year of experience is essential, with knowledge of community care resources and the various levels of behavioral health care available.

• Proficiency in Microsoft Office applications (Outlook, Word, Excel, and PowerPoint) is necessary.

• Ability to make independent, sound decisions and solve problems effectively.

• Exceptional oral and written communication skills.

• Strong interpersonal and organizational abilities.

• Robust analytical skills.

• Capability to build positive relationships and engage diverse populations in health behavior motivation.

• Experience with Motivational Interviewing Techniques and an understanding of Adult Learning Styles is preferred.

🏝️ Benefits

• Health insurance.

• Retirement plans.

• Paid time off.

• Flexible work arrangements.

• Professional development opportunities.