JR118445 Behavioral Health Case Manager I

Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs for the state of Virginia.

Location: Virginia

How will you make an impact:

• 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.

• 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.

Minimum requirements:

• Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and a minimum of 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.

• Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

Preferred Skills, Capabilities, and Experiences:

• Hands-on experience in case management, ideally with telephonic or in-person coaching for members dealing with complex health issues including psychiatric, substance abuse, or other medical disorders.

• Solid background in Behavioral Health is very beneficial.

• Open to travel around 30% of the time to locations including Richmond, Chesterfield, Henrico, Tri-Cities Colonial Heights, Petersburg, and Hopewell, VA.

• Prior experience in a Managed Care Organization (MCO) is a big plus.