Behavioral Health Case Manager Resume Samples

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CR
C Rosenbaum
Christian
Rosenbaum
28352 Armstrong Station
New York
NY
+1 (555) 842 9889
28352 Armstrong Station
New York
NY
Phone
p +1 (555) 842 9889
Experience Experience
Houston, TX
Behavioral Health Case Manager
Houston, TX
Stamm, Gutkowski and Stehr
Houston, TX
Behavioral Health Case Manager
  • Periodically participate and facilitate training programs and/or presentations
  • Establishes prompt and timely contacts with members, significant others, providers, community agencies and internal health programs
  • Conducts multiple assessments to establish baseline physical and behavioral health functioning and determine member improvement
  • Evaluate and assess member in the community setting
  • Identifies member problems based on analysis of assessments data
  • Establishes a complete treatment plan to improve and/or maintain member’s level of functioning in the community and tenure in the community setting
  • Implements intervention strategies aimed towards accomplishing member goals
New York, NY
Lcsw Behavioral Health Case Manager
New York, NY
Blanda Group
New York, NY
Lcsw Behavioral Health Case Manager
  • Provide support and oversight to other team members managing low risk members
  • Understand and follow policies and procedures and submit reports in a timely manner
  • Conduct mental health assessment interviews with members or authorized representatives to obtain social history relevant to BH problems and care planning
  • Creation of a member-centric care plan utilizing information gathered during the health risk assessment process
  • Coordinate care with other members of the behavioral/medical interdisciplinary teams
  • Present complex cases during Interdisciplinary Care Team meetings to gain insight from health services leadership, medical directors, pharmacists, co-workers, etc
  • Clearly document and track efforts and outcomes
present
San Francisco, CA
Behavioral Health Case Manager Remote
San Francisco, CA
Walsh Inc
present
San Francisco, CA
Behavioral Health Case Manager Remote
present
  • Identifies cases for individual case management by collecting information obtained from the patient, providers and caregivers
  • Completes a thorough assessment, develops and implements a case/disease management plan including goals based on the assessment
  • Coordinates and certifies services based upon information received from attending physician and/or other providers using established medical criteria. (Refers all cases which do not meet criteria to the Medical Director.)
  • Establishes an effective working relationship with the patient/family, provider and payer
  • Acts as primary liaison with designated customers (employers), clients (patients), and providers for ongoing care management program operations
  • Takes part in quality improvement strategies by assessing individual and employer satisfaction of programs, identifying real or potential quality issues and working toward overall quality performance
  • Adheres to the Case Managers’ ethical principles and standards as described in the CMSA’s Standards of Practice
Education Education
Master’s Degree in Social Work
Master’s Degree in Social Work
Adelphi University
Master’s Degree in Social Work
Skills Skills
  • Intermediate Ability to work independently Ability to work independently, handle multiple assignments and prioritize workload
  • Intermediate Ability to multi-task
  • Intermediate Demonstrated time management and priority setting skills
  • Intermediate Demonstrated interpersonal/verbal communication skills Communicates effectively in person and by phone
  • Advanced Ability to create, review and interpret treatment plans Ability to create, review and interpret treatment plans
  • Intermediate Ability to effectively present information and respond to questions from families, members, and providers
  • Intermediate Knowledge of healthcare delivery
  • Intermediate Knowledge of community, state and federal laws and resources
  • Intermediate Demonstrated written communication skills
  • Intermediate Demonstrated customer service skills
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10 Behavioral Health Case Manager resume templates

1

Behavioral Health Case Manager Remote Resume Examples & Samples

  • Minimum one year experience in a managed care setting desirable
  • Valid and unrestricted driver’s license
  • Identifies cases for individual case management by collecting information obtained from the patient, providers and caregivers
  • Adheres to the Case Managers’ ethical principles and standards as described in the CMSA’s Standards of Practice
  • Maintains knowledge of cultural differences including socioeconomic factors, cultural traditions and spiritual beliefs, and researches these differences as needed via libraries, Internet and/or professional journals
  • Knowledge of applicable state and federal regulations and standards
  • Experience in Managed Care highly preferred Education
  • Graduate degree in Social Work or a related field or BSN required Licensure/Certifications
2

Behavioral Health Case Manager Resume Examples & Samples

  • 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
  • Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers
  • Experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. For Government business only, LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply
3

Behavioral Health Case Manager Resume Examples & Samples

  • Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. For Government business only, LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply
  • Experience in health coaching and motivational interviewing techniques preferred
  • This position will require day travel throughout the assigned region in West Virginia 2-3 times per month for meetings with providers and coordinating case management activities, as well as travel to Charleston, WV once a week for team meetings
4

Behavioral Health Case Manager Resume Examples & Samples

  • Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes
  • Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements
  • Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice
5

Behavioral Health Case Manager Resume Examples & Samples

  • Assesses, plans, implements, coordinates, monitors and evaluates options and services to meet complex psychosocial health needs of inpatient and outpatient members. Manages a caseload in compliance with contractual obligations and WellCare standards
  • 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 member's care plan and collaborates with providers
  • Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Provides clinical social work consultation to physicians, professional staff, and other teams members/supervisors to provide optimal quality patient care and effective operations
  • Coordinates community resources with emphasis on the development of natural support system. Coordinates benefits, regulations, laws and public entitlement programs
  • May manage members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Acts as team SME in order to achieve optimal clinical and resource outcomes
  • Required An Associate's Degree in nursing or graduation from Diploma Nursing School (if RN)
  • Required 2+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning
  • Intermediate Demonstrated interpersonal/verbal communication skills Communicates effectively in person and by phone
  • Advanced Ability to create, review and interpret treatment plans Ability to create, review and interpret treatment plans
  • Intermediate Demonstrated problem solving skills
  • Required Licensed Clinical Marriage & Family Therapist (LCMFT)
  • Required Certified Social Worker (C-SW)
  • Required Intermediate Microsoft Word Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties
  • Required Intermediate Other Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties
6

Behavioral Health Case Manager Resume Examples & Samples

  • Required: Associate's Degree in nursing or graduation from Diploma Nursing School (if RN)
  • Required: Master's Degree in Social Work, Psychology, Counseling, Rehabilitation, or other relevant field that provides a foundation to receive a license as required of the position
  • Required: 2+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning
  • Required: 1+ year of experience in current case management as a licensed professional
  • Required: Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
  • Preferred: Experience in a managed care environment
  • Demonstrated interpersonal/verbal communication skills Communicates effectively in person and by phone
  • Demonstrated written communication skills
  • Intermediate Microsoft Outlook
  • Proficient in Microsoft Office including Outlook, Word and Excel
  • Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties
  • LI-SD2
7

Behavioral Health Case Manager Autism Resume Examples & Samples

  • Operates as a consultant for other departments
  • Coordination of Care: Facilitates collaboration between Primary Care, Behavioral Health Care Services and Health Care Providers
  • Consults with families and other care givers
  • Provides service information, educational materials and resource information
  • Linkage with External Resources: Provides linkage of member to community services
  • Provides individual supportive psychotherapy with client and supportive family counseling when necessary
  • Coordinates, provides and/or facilitates informational classes, education and/or training in areas such as independent living skills, psycho-education
  • Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of
  • At least two (2) years experience in mental health setting and experience working in Inpatient and/or Outpatient treatment services
  • Minimum two (2) years recent experience in case management and working with community resources, specifically related to the assessment, diagnosis and intervention of Autism Spectrum Disorders. At least two (2) years experience in mental health setting and experience working in Inpatient and/or Outpatient treatment services
  • Behavioral Health Case Manager - Eating Disorders
  • Preferred Case Manager Experience with Adult and Child Autisim Spectrum
8

Behavioral Health Case Manager Resume Examples & Samples

  • Initial Intervention(Following referral from Inpatient and/or Outpatient Psychiatry Services): Engages with high risk, high utilizing patient populations. Acts as a central point of contact for referrals from multiple departments
  • Provides assessment and evaluation of clinical status, environmental resources, mental and intellectual capabilities and networking skills
  • Planning of Services is based on assessment of both short and long term needs
  • Tracks referrals and outcomes for ongoing quality management
  • Provides referrals to other departments; facilitates this process and may provide follow-up services as appropriate
  • Provides brokerage and advocacy when necessary
  • Facilitates scheduling of multi-disciplinary assessment team and may participate in assessment
  • Establishes linkages and maintains working relationships with outside resources
  • Direct Patient Intervention: Provides individual and/or group therapy for chronic, high utilizing patient population
  • Participates in Intensive Outpatient programs as a team member
  • Provides crisis assessment and intervention
  • Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures
  • Relevant experience from one of the following areas shown below
  • Behavioral Health Case Manager - Generic
  • Minimum two (2) years recent experience in case management and working with community resources
  • Behavioral Health Case Manager - Autism
  • Minimum two (2) years recent experience in case management and working with community resources, specifically related to the assessment, diagnosis and treatment of a variety of Eating Disorders. At least two (2) years experience in mental health setting and experience working in Inpatient and/or Outpatient treatment services
9

Behavioral Health Case Manager Resume Examples & Samples

  • RN (Registered Nurse)
  • LMSW (Licensed Master Social Worker)
  • LSCSW (Licensed Specialist Clinical Social Worker)
  • LPC (Licensed Professional Counselor)
  • LCPC (Licensed Clinical Professional Counselor)
  • LMLP (Licensed Master Level Psychologist)
  • LCP (Licensed Clinical Psychotherapist)
  • LMFT (Licensed Marriage Family Therapist)
  • LCMFT (Licensed Clinical Marriage Family Therapist)
10

Licensed Behavioral Health Case Manager Resume Examples & Samples

  • Accept manual referrals from assigned practices for Behavioral Health case management or consultation for members with serious Behavioral Health conditions
  • Facilitate member access to Behavioral Health providers for continuing treatment and follow up
  • Participate in practice rounds
  • Assist with Behavioral Health-related population management
  • Provide BH support for joint Aetna/practice clinical initiatives
  • May need to meet face-to-face with assigned PC groups
  • 3-5 years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
11

Behavioral Health Case Manager Resume Examples & Samples

  • The successful hire will be responsible for the review of Long-Term Disability (LTD) and Short-term Disability (STD) claims with complex medical conditions referred for medical assessment; clarification of limitations/ restrictions; and/or case management
  • Work closely with the STD/LTD Claims Team to identifying appropriate claim referrals and effectively assessing claims to ensure they reach the appropriate claim outcome
  • Collaborate with Rehabilitation Case Managers; Ability Analysts; Employees, Policyholders, Healthcare Providers, and Vendors to facilitate and coordinate case management strategies to facilitate a potential Return to Work
  • Clearly document and track efforts and outcomes
  • Periodically participate and facilitate training programs and/or presentations
  • At least 3 years of current clinical experience in an acute care, orthopedic, rehabilitation; industrial medical settings; behavioral health settings, or current experience as a disability case manager
  • Licensed Mental Health Professional highly preferred or Registered Nurse (RN) with aPsychology or Behavioral Health background
  • CCM, CDMS, COHN, CRRN or comparable industry certification preferred
  • Clinical ability to assess claims with complex medical histories which may include claimants with subjective diagnoses, co-morbid conditions, etc
  • Strong written/ verbal communication skills; computers and Microsoft Office programs
  • Ability to explain complex medical conditions and ability to communicate with attending physicians to identify current limitations/restrictions as it relates to the work place
  • Accurate clinical assessment and analytical skills, ability to make sound judgments and to accurately document activities, and the desire to learn about the insurance business
  • Prior experience in facilitating RTW for disabled employees, knowledge of return to work best practices, ergonomics, FMLA, and related Human Resources is desired
  • Must keep current in area of expertise and acquire CEU's as necessary to maintain certification
  • Negotiation skills, problem solving, plan development competencies are essential
  • Organizational and Change Management skills, accountability in meeting deadlines, and being a team player are also essential
12

Behavioral Health Case Manager Resume Examples & Samples

  • Completes assessments by gathering information from the member, family, provider, state and local agencies, and other stakeholders according to department's guidelines and timeframes
  • Coordinates care across the care continuum for members receiving behavioral heath and substance abuse services
  • Serves as the member's point of contact for accountability
  • Develops, implements, monitors and evaluates a comprehensive care plan in collaboration with member, family/caregivers, providers, state and local agencies
  • Works as a liaison to arrange and coordinate services with community partners including the Virginia Department of Health, state and local agencies for care coordination, referrals and treatment arrangements which may occur as a KP covered service, carved out service or under a waiver program
  • Serves as the primary point of contact for Medicaid Behavioral Health Management. Tracks DMAS reports, coordinates care for carved in/out services
  • Serves on the state's Behavioral Health Services Administrator QI Committee and participates in clinical management rounds
  • Participates in meetings with behavioral health providers to inform them of case management services and benefits available to the members
  • Refer members to the state of Virginia who are transitioning to residential treatment
  • Maintains a list of providers, agencies and programs that can benefit the member. These include KP, network, carved out/ excluded services and waiver programs
  • Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals and assessments in the electronic health record (HealthConnect). Tracking elements are entered in the Case Module of HealthConnect
  • Supports Behavioral Health Quality Assurance Activities including but not limited to meeting HEDIS Targets and reducing Inpatient Readmission rates
  • Resolves telephone and written inquiries from members and consultants
  • Maintains and updates knowledge of treatment approaches, philosophies and techniques for Mental Health/Behavioral Health diagnostic categories
  • Maintains knowledge of current DSM and CPT coding categories
  • Collaborates with Behavioral Health Referral Assistants and Manager in maintaining and improving the Network referral process
  • Assists Behavior Health Managers with special projects as assigned
  • Performs other related job duties as requested by Behavioral Health Department Manager
  • Five (5) years of recent experience (within the past seven (7) years) in behavioral health care required
  • Two (2) years of experience (within the past five (5) years) in case management required
  • One (1) year of experience and the ability to communicate effectively with consultants, members, and Health Plan/MAPMG providers required
  • Experience in both ambulatory and in-patient setting preferred
  • Experience working with dual diagnosed patients preferred
  • Experience and working knowledge of Community Service Boards preferred
  • Experience with motivational interviewing preferred
  • Chronic Care Professional Certification through the Health Science Institute preferred. If applicant does not have the certification, completion of Motivational Interviewing Skill Building Webinar Series through the Health Science Institute is required within six (6) months of hire
13

Behavioral Health Case Manager Resume Examples & Samples

  • 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 as an LPC, LAPC, LMFT, LMSW or LCSW to practice as a health professional within the scope of licensure in the state of Georgia required
  • Requires strong computer skills including MS Office, especially MS Excel
  • Experience with Adoption Assistance preferred
14

Behavioral Health Case Manager Resume Examples & Samples

  • Current active unrestricted license as an RN, LPC, LAPC, LMFT, LMSW or LCSW to practice as a health professional within the scope of licensure in the state of Georgia required
  • Experience with Foster Care and Complex Case Management preferred
  • Requires field work approximately 60-80% of the time
15

Behavioral Health Case Manager Resume Examples & Samples

  • Minimum of five (5) years psychiatric and/or substance abuse experience with at least three (3) years of clinical experience required
  • Experience in behavioral health settings that include inpatient, partial, and/or outpatient care required. Must be knowledgeable about community care resources and levels of mental health care available
  • 2 years experience in Utilization Management, Case Management or Managed Care preferred
  • Certified Case Manager (CCM) is preferred upon employment, and Case Managers are required to obtain certification within 4 years of being hired as a Case Manager
  • Excellent oral and written communication skills, with problem-solving abilities
  • Ability to build rapport and engage members in effective dialogue related to their treatment plan
  • Exceptional level of critical thinking, analytical and creative problem solving skills required
  • Excellent assessment skills
16

Behavioral Health Case Manager Resume Examples & Samples

  • Licensed in Minnesota as LICSW, LMFT, LPCC, or PhD LP
  • Minimum of 3 years clinical practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical knowledge
  • Demonstrated effective, clinical judgment and skills
  • Ability to deal with change and ambiguity
17

Behavioral Health Case Manager Resume Examples & Samples

  • Requires MS or MA in social work, counseling, nursing or related behavioral health field. Your experience must include 3 years' clinical experience in social work, counseling with a 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
  • Requires Community Mental Health experience; CSB (Community Service Board) experience; experience working with the ID/DD population
  • Current, unrestricted RN, LCSW, LPC, or LPN license in the state of Virginia
  • Knowledgeable of involuntary psychiatric admissions related to emergency custody orders and temporary detention orders
18

LTC Behavioral Health Case Manager Resume Examples & Samples

  • Assessment of members to identify unmet needs, coordinate services, community resources and treatment needs
  • Delivering a holistic approach to coordinated care based on the enrollee needs
  • Creating, reviewing and revising Plan of Care plans and focusing on disease management
  • Functioning as an advocate for members and decreasing unnecessary hospitalizations
  • Building relationships with members and their families; assisting them with proper health choices
  • Ensuring cases are documented in a timely manner
  • Licensed by the Arizona Board of Behavioral Health Examiners as a LBSW, LMSW, or LCSW OR Licensed in Arizona as a Registered Nurse with at least two years of experience working in a psychiatric setting or behavioral health clinic
  • Three years of experience working with persons who have a serious mental illness as a case manager, behavioral health technician, supervisor of case managers or a behavioral health professional
  • Knowledge about how traumatic brain injuries can affect behavior
  • Knowledge about the behaviors associated with dementia
  • Bilingual-Spanish
  • Basic knowledge of health conditions such as heart disease, diabetes and stokes
19

Behavioral Health Case Manager Resume Examples & Samples

  • Actively participates in departmental PI, as assigned by Quality Coordinator
  • Completes high quality work in accordance with outlined standards and procedures within defined time frames
  • Functions as a liaison with Psychiatrists, Nursing Staff, Unit Therapists, and Managed Care Organizations
  • Participates in treatment teams with Medical Directors, staff psychiatrists, and other clinicians as appropriate
  • Discusses issues related to staff, group, clients, and other customers with the Clinical Services Manager or department Director, as appropriate
  • Reviews concurrently all payer type inpatient medical records against various medical necessity criteria
  • Assures that documentation, certifications, and demographic data for all assigned cases are accurate
  • Performs reviews according to time frames indicated by policy and/or the Managed Care Organization
  • Alerts Director and/or Clinical Services Manager and appropriate clinical staff of potential problems affecting insurance reimbursement
  • Assures appropriate level of care and length of treatment for all assigned cases
  • Demonstrates ability to make appropriate referrals to next level of care providers with the clear understanding that continuing care planning begins at the time of admission
  • Demonstrates working knowledge of area referral resources
  • Knowledge of CMS requirements and 2 midnight rule and implementation of such
  • Demonstrates the ability to complete all post discharge follow-up as outlined by HBIPS and/or the Managed Care Organization
  • Manages cases through to resolution
  • Demonstrates the ability to complete retroactive appeals to include writing effective appeal letters
  • Demonstrates ability to integrate age specific factors into the plan of care and involves the patient and family in the care plan process as appropriate to age. (Serve Adolescent, Adult and Geriatric populations.)
  • Consistently protects patient confidentiality as outlined in state and federal statutes
  • Willingly performs other related duties as assigned or requested in a flexible and positive manner
  • Requires two to five years experience working in a behavioral health setting, preferably psychiatric inpatient experience; or five years post graduate supervised broad clinical experience
  • Familiarity with required DSM -5 diagnoses, inpatient psychiatric treatment protocols, brief therapy, and chemical dependency intervention knowledge and skills
  • Demonstrates interpersonal skill necessary to advocate for patients in regards to managed care organizations
  • Conducts utilization review and case managed care cases on assigned psychiatric units
20

Behavioral Health Case Manager Resume Examples & Samples

  • Documents all services in a timely, accurate and professional manner according to established standards
  • Provides community outreach services to clients including home visits so as to render services in natural settings
  • Provides clients with monitoring and training in the self-administration of medications if required in the treatment setting and authorized by the Medical Director
21

Lcsw Behavioral Health Case Manager Resume Examples & Samples

  • Develop and implement alternative treatment plans that address individual mental health needs of the member, their benefit plan, and community resources
  • Conduct mental health assessment interviews with members or authorized representatives to obtain social history relevant to BH problems and care planning
  • Creation of a member-centric care plan utilizing information gathered during the health risk assessment process
  • Coordinate care with other members of the behavioral/medical interdisciplinary teams
  • Provide support and oversight to other team members managing low risk members
  • Understand and follow policies and procedures and submit reports in a timely manner
  • Present complex cases during Interdisciplinary Care Team meetings to gain insight from health services leadership, medical directors, pharmacists, co-workers, etc
  • Unrestricted Clinical Social Worker license in the state of Florida
  • One year of experience as a licensed BH professional in a clinical or case management setting
  • Current knowledge of federal and state BH practice guidelines, as well asevidence-based BH treatment guidelines for adult/geriatric population
  • Fluent in spoken and written Spanish
22

Behavioral Health Case Manager Altcs Resume Examples & Samples

  • Ensures qualified behavioral health professionals provide clinically competent consultations and collaborative processes to ALTCS case managers to develop care plans and preserve placements. Provides consultation/collaboration to ALTCS unlicensed case managers with behavioral health experience as needed. Ensures the review of members receiving psychotropic medications. Assists ALTCS case managers with identifying and monitoring members who require petitioning, are on court ordered treatment and ensure the timeliness of judicial reviews. Provides and/or facilitates case management and/or social work, and/or other related activities and serves as a resource to other staff members. Promotes interdisciplinary patient care planning and supports Care Model
  • Participates in the development of the department budget in conjunction with established goals and objectives. Plays a key role in ensuring budgetary goals are met on an annual basis
  • Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies
23

Behavioral Health Case Manager Resume Examples & Samples

  • Working with members identified as high risk to improve quality of life for both behavioral and physical health issues
  • Develop and monitor the Case Management Care Plan
  • Work telephonically and in the field with the patients identified as high risk
  • Experience in psychiatric and medical health care settings
24

LTC Behavioral Health Case Manager Resume Examples & Samples

  • Licensed Behavioral Health Professional OR Licensed in Arizona as a Registered Nurse with at least two years of experience working in a psychiatric setting or behavioral health clinic
  • Licensed by the Arizona Board of Behavioral Health Examiners as a LBSW, LMSW, or LCSW
  • Bilingual - Spanish
25

Behavioral Health Case Manager Resume Examples & Samples

  • Requires MS or MA in social work, counseling, or a related behavioral health field
  • Current active unrestricted license as an, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), or LMFT to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
  • For Government business only, LAPC, LAMFT, LMSW (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply
  • SED waiver or Community Mental Health Center experience preferred
26

Behavioral Health Case Manager Resume Examples & Samples

  • Responds to more complex cases and account specific requests
  • Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment
  • May serve as a resource to other BH Case Mgrs
27

Behavioral Health Case Manager Resume Examples & Samples

  • Utilize best practice standards to render medical necessity determinations
  • Adhere to departmental and state guidelines, and clinical standards of care through collaboration with providers to ensure appropriate outcomes
  • Communicate with patients, family and other medical personnel as necessary to facilitate a desired outcome
  • Collaborate with Physician Advisor; assess appropriateness and effectiveness of medications to determine a medications use, dosage, side effect as applied to different disease states
  • Manage electronic files to create patient files to document patient records, treatments, and progress
  • 1-3 years Clinical and Managed Healthcare experience required
  • 3-5 years experience required
  • NYS LMSW, LCSW, LMHC, or, CASAC and RN
28

Behavioral Health Case Manager Resume Examples & Samples

  • Follow up is provided to members identified as needing coordination of care for behavioral and/or medical concerns
  • Members have single point of contact for continuity of care
  • High risk members are identified for coordination of services within the various service delivery systems
  • Provide and improve quality care to members to achieve optimal health outcomes
  • Members are aware of available services for which they are eligible
  • Members receive services to meet their identified needs
  • Clinical care is coordinated among the interdisciplinary service providers involved in the member’s care
  • Health Choice staff serve as single point of contact
  • Upon discharge, member transitions to safe, appropriate environment with effective continuity of care
  • Interdisciplinary team is engaged with the member to create care plan and discharge plan
29

Behavioral Health Case Manager Resume Examples & Samples

  • Provides comprehensive (psychosocial) assessment services for patients from the time of admission to facilitate discharge planning. Conducts assessments of patient and family to obtain history and identify precipitants for hospitalization. Assesses patients' emotional status, psychosocial stability, adjustment to acute illness or chronic disability, as well as family support system and financial conditions
  • Contacts current or previous behavioral health providers, employers and employee assistance programs (EAP’s), designated school personnel and additional collateral/supportive contacts to obtain relevant clinical data needed for coordination of care and discharge planning and for inclusion in this process
  • Facilitates post-acute care and discharge planning for assigned patients. Conducts criteria identified assessment and coordination for referrals to psychiatric home health, skilled nursing, intermediate care, assisted living and other supportive living facilities. Facilitates transition of patient to rehabilitation and residential placement as well as transfers to other acute levels of care. Continuously communicates provisional discharge plan to patients and families throughout the hospitalization in order to help patient with adjustment to hospitalization and to facilitate discharge plan including coordination of care post hospital care, documenting necessary information in the patient’s after visit summary, as well as coordinating and documenting increased and decreased level of care changes
  • Completes, compiles and coordinates legal documents required by the Illinois Mental Health and Developmental Disabilities Code (MHDDC) involving involuntary admissions of patients on an inpatient basis. Prepares records for mental health court proceedings and participates in this process as directed by the Office of the Cook County State’s Attorney. Provides notice of patient’s discharge to petitioner when indicated. Reports other patient issues to state and community agencies as required by hospital policy or state/federal law
  • Provides assistance to patients and families regarding the initiation of the legal process of appointment of guardians and for the supervision of disabled persons once patient is returned to the community
  • Provides educational and psychological therapies to assist patients and their families in coping with problems related to their illness and/or disability with focus on personal adjustment, family dynamics, community relationships and other social adjustment, e.g. vocational/occupational roles. This is facilitated through the use of appropriate individual, family and group professional treatment modalities
  • Develops an individualized comprehensive treatment plan in conjunction with attending physician and interdisciplinary hospital team, patient and family. Coordinates the regular review of treatment plan for use in clinical team meetings, staffing, providing case management input based on patient, family and other collateral contact. Updates treatment plan during the patient’s course of treatment and participates as necessary in patient care conferences to discuss discharge planning factors
  • Maintains accurate and timely medical records (clinical documentation) including psycho-social assessments, family sessions and daily progress notes to include school personnel and other community collateral involvement. Provides descriptions of therapeutic interventions and patient response for discharge planning process
  • Maintains a comprehensive knowledge of community resources as well as professional relationships with allied health and community referral sources to assure appropriate linkage at discharge
  • Responds to psychiatric emergency codes utilizing training in management of aggressive behavior
  • Maintains knowledge of current trends and developments in the field by reading appropriate books, journals and other literature and by attending related conferences and other trainings. As needed, serves as spokesperson before professional or community groups
  • Master’s degree from an accredited school of Social Work required
  • Current LSW (Licensed Social Worker), LPC (Licensed Professional Counselor) or Clinical Psychologist to practice in the State of Illinois required. LCSW (Licensed Clinical Social Worker), LCPC (Licensed Clinical Professional Counselor) preferred
  • Minimum of 2 years experience in a behavioral health environment
  • Completion of training and certification in CPI
  • Working knowledge of developmental psychology, disease pathology and clinical needs of assigned population
  • Ability to maintain highly confidential information
  • Ability to concisely summarize pertinent clinical information via written correspondence and electronic medical records documentation
  • Ability to demonstrate professional demeanor in volatile or hostile situations
  • Ability to set therapeutic limits and maintain professional therapeutic boundaries with patients and families during treatment and post discharge
  • The analytical skills necessary to conduct through patient care coordination in highly complex cases and to assist in the clinical component of the interdisciplinary treatment plan
  • The organizational skills necessary to prioritize multiple assignments given simultaneously
  • The written communication skills necessary to document patient clinical information being mindful of continued review criteria
  • Thorough knowledge of the Illinois Mental Health and Developmental Disabilities Code
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Behavioral Health Case Manager Resume Examples & Samples

  • Utilize knowledge of mental health system and engagement skills to link members being discharged from inpatient facilities to ongoing outpatient care. Adhere to clinical standards of care through collaboration with providers in order to ensure appropriate outcomes
  • Practice and adhere to departmental and state guidelines in order to protect self, members and the organization
  • 3+ years experience working with Behavioral Health and/or Substance Use required
  • LMSW, LCSW, LMHC, RN, or Licensed Psychologist (Ph.D. or Psy.D.); CASAC a plus when in conjunction with required licensure