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Role Description

The Behavioral Health - Care Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as:

• Eating Disorders (ED)
• Maternity
• Alcohol / Drug
• Autism Spectrum Disorders (ASD)

How you will make an impact:

• Responds to more complex cases and account specific requests.
• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
• Conducts assessments to identify individual needs and develops specific 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.
• Serves as a resource to other BH Case Managers.
• Participates in cross-functional teams, projects, and initiatives.

Qualifications

• Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing.
• Minimum of 3 years of clinical experience in social work or counseling with a broad range of experience with complex psychiatric and substance abuse disorder treatment.
• Current active unrestricted license such as RN, LCSW, LMHC, LICSW, LPC, LMFT, LMSW, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
• Previous 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.
• Managed care experience required.

Requirements

• Extensive experience with Massachusetts state agencies - DMH/DCF STRONGLY PREFERRED.
• Experience in health coaching and motivational interviewing techniques preferred.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs (unless covered by a collective bargaining agreement)
• Medical, dental, vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources