Behavioral Health Case Manager II

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

📋 Description

• Provide case management for behavioral health and substance abuse disorders via telephone and/or home visits within the limits of licensure.

• Address complex cases and specific requests related to accounts.

• Utilize knowledge of screening criteria and clinical judgment to evaluate member needs.

• Perform assessments and create personalized care plans that target identified objectives and goals.

• Monitor and assess the effectiveness of care plans, making modifications as necessary.

• Facilitate member access to suitable, high-quality, and cost-effective care.

• Coordinate with both internal and external resources to fulfill members' identified needs.

• Work collaboratively with healthcare providers.

• Act as a resource for other Behavioral Health Case Managers.

• Engage in cross-functional team projects and initiatives.

• Serve as a subject matter expert in specific clinical areas such as Eating Disorders, Maternity, Alcohol/Drug issues, and Autism Spectrum Disorders.

⛳️ Requirements

• A Master's degree (MA/MS) in social work, counseling, or a related behavioral health discipline, or a nursing degree, along with a minimum of 3 years of clinical experience in social work or counseling, with extensive experience in intricate psychiatric and substance abuse disorder treatment; or a comparable combination of education and experience.

• A current active unrestricted license such as RN, LCSW, LMHC, LICSW, LPC, LMFT, LMSW, or Clinical Psychologist, as permitted by applicable state laws, to practice as a health professional within the scope of licensure in the relevant states or territories of the United States.

• Must be licensed in New York State.

• Prior experience in case management and telephonic and/or face-to-face coaching with members experiencing complex psychiatric, substance abuse, and/or medical disorders.

• Experience in managed care is required.

• For Government business only: LAPC or LAMFT may be accepted as authorized by applicable state laws, along with any other relevant state or federal requirements.

• Experience in health coaching and motivational interviewing techniques is preferred.

• Managed Care/Insurance experience is preferred.

• Familiarity with community resources in the New York City/Westchester area is preferred.

• Ability to work virtually full-time within a reasonable commuting distance from the posting location(s), unless an accommodation is provided.

• Availability to attend mandatory in-person training sessions.

• May be required to visit members in person based on business needs.

• Candidates must comply with applicable vaccination requirements for specific patient/member-facing roles.

🏝️ Benefits

• Comprehensive benefits package.

• Incentive and recognition programs.

• Equity stock purchase options.

• 401(k) contributions.

• Merit-based increases.

• Paid holidays.

• Paid Time Off.

• Incentive bonus programs.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• Short-term disability benefits.

• Long-term disability benefits.

• 401(k) with matching contributions.

• Stock purchase plan.

• Life insurance.

• Wellness programs.

• Financial education resources.

• COVID-19 and Influenza vaccination requirements/support for certain patient/member-facing roles.