Care Manager in Kapolei, HI at Beacon Health Options

Date Posted: 2/7/2020

Job Snapshot

Job Description

We Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a ‘world-class’ candidate experience from the moment you click ‘Apply’! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

Beacon is currently seeking a Care Manager a highly organized and compassionate professional to join our team at our Kapolei, HI area. 

The Care Manager is responsible for providing case management/service coordination services for QUEST Integration members with behavioral health special health care needs. Responsibilities include screening, assessing, and managing of members referred for case management/service coordination. The Case Manager is responsible for providing outreach, coordination, education and support to HMSA members by performing clinically based activities to coordinate care between the members, providers and community resources. Responsibilities also include the facilitation of a collaborative relationship among members, providers, community agencies, as well as health plan and Beacon staff in order to ensure members receive timely and integrated access to services across the continuum of care, including supporting and managing member’s physical, emotional, social and economic barriers to appropriate medical and behavioral care.

What does a typical day look like?

1. Screening and tracking of all assigned SC Members
2. Conduct timely face to face health and functional assessments and re-assessment of members in compliance with program standards
3. Develop, document, and implement targeted case management/service coordination service plans based on the results of the assessment for members with behavioral health special health care needs.
4. Maintains on-going contact with the member/guardian
5. Coordinate a team of decision-makers to develop a service plan including the PCP, behavioral health providers, and other specialist as appropriate, the member, and others determined by the member including family members, caregivers, and significant others in order to ensure timely access to appropriate medical care.
6. Document and resolve issues for HMSA QUEST Integration members and providers on appropriate electronic systems.
7. Provide continuity of care when members are discharged from a hospital and help them with medication adherence and reconciliation.
8. Coordinate and monitor activities among internal, external community agencies including DHS, Medicare, and the DOH programs excluded from QUEST Integration, as well as HMSA and its other vendors.
9. Utilize compiled data received from member encounters to assure the services provided meet the member’s needs.
10. Provide assistance in resolving any concerns about service delivery or providers
11. Urgent calls, including after hours and weekend on-call rotation
12. Performs special projects and other duties as assigned and required.

What you Contribute?

Education: Master’s degree or higher in a health related field

Licensure:

  • Licensure as a behavioral health professional (LSW or LCSW) or RN licensure as a professional and 3 years of behavioral health clinical experience. Must have current, valid and unrestricted Hawaii licensure with proof on date of hire. Re-verification will take place no less than every 3 years.

 Knowledge, Skills & Abilities:

• 3 plus years of Case Management
• 3 plus years of Behavioral Health Industry Knowledge
• 3 plus years of HIPAA and other Regulatory Knowledge
• Educated in current principles, procedures and knowledge domains of case management based on nationally recognized standards of case management
• Knowledge of client's rights, state and federal laws, and regulations, such as those relating to health services, confidentiality, and consent issues for the targeted population.
• Knowledge of managed care and state specific expertise preferred.
• Demonstrated experience meeting strict deadlines and established cycle times through effective prioritization and follow-up.
• Strong interpersonal skills and good written and verbal communication skills.
• Proficient computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint.

What Makes Us Different?

  • Here, it’s not just a job – it’s an opportunity to change lives.
  • Our employees are learners, innovators and original thinkers.
  • Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

  • Healthcare benefits available starting day 1!
  • Health & wellbeing incentives, such as gym membership reimbursement
  • 401K with company match to help reach your future financial goals
  • Generous PTO, because we know life happens outside of work
  • Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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