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Clinical Care Manager in Colorado Springs, CO at Beacon Health Options

Date Posted: 5/17/2019

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Clinical Care Manager to join our team at our office in Colorado Springs, CO.  The Care Manager is the health professional (Psychiatric RN or other independently licensed Behavioral Health Clinician)for the Crisis Services program responsible for the coordination of integrated, seamless and person-centered service in support of members who are eligible under various health programs. The Care Manager provides holistic assessment and care, as well as complex care planning and management services. The Care Manager will coordinate among all Interdisciplinary Care Team (ICT) members to develop the Individualized Care Plan (ICP) and oversee ICP implementation by the Care Coordinator. S/he is available to the health plan and community based Case Management provider agencies for consultation when issues with regard to behavioral health management or treatment arise. The Care Manager provides clinical oversight for Care Coordinators, Community Health Workers and other paraprofessional staff responsible for implementing the Individualized Care Plan (ICP). Additionally the Care Manager is responsible for authorization of services and coordination of care with any contracted community based Case Management agency when appropriate.  The Care Manager remains current in Case Management Society of America (CMSA) evidence based protocols, as well as the care management requirements and responsibilities of the dual demonstration project.

Position Responsibilities:

  • Facilitate clinical policies implementation and maintenance, assess training and development needs for, and identify clinical resources and tools to improve program effectiveness and quality.

  • S/He will be responsible for maintaining accurate information in Beacon’s and the Health Plan’s clinical documentation systems as directed

  • Work collaboratively to coordinate a supportive environment and clear communication

  • Provide coaching to Care Coordinators related to clinical decisions and outcomes

  • Identify, assess, and holistically manage complex behavioral health cases for those members

who are in the Crisis Services program as appropriate

  • Provide individualized person-centered support to members. Provide health coaching and

wellness education as appropriate

  • Develop or oversee the ICP for each member in collaboration with all team members, adhering

to timelines and including assessment of health needs, individualized care management plans, implementation, monitoring and evaluation of care outcomes

  • Collaborate with Primary Care Physician (PCP), Behavioral Health Professionals (BHP), and

other members of the health care team, Health Plan Medical Care Managers, consumer advocates, Pharmacy, and others to arrange and coordinate services for the member to help member reach their highest level of functioning and optimize the member’s ability to engage in the appropriate plan of care

  • When delegated, oversee activities associated with member welcome and orientation. Ensure that initial member assessment and annual updates are completed and documented

  • Assess caseloads and modify as needed

  • Utilize the evidence based guides to identify problem areas

  • Collaborate with health plan medical lead when problems are identified

  • Collaborate with the Care Coordinator to update ICP as necessary

  • Review medications at time of care transition

  • Manage and coordinate care. May conduct in-home assessments of barriers to health condition management, and conduct facility visits to meet members receiving in-patient behavioral health

care to assist with discharge planning and engagement activities

  • 50-75% travel Valid driver’s license required

  • Other duties as assigned.

Position Requirements:

Education: Either Master’s level in a behavioral health discipline: social work, counseling, psychology or ADN or higher

License: Unrestricted Colorado clinical license (LCSW, LPC, LMFT, RN, PsyD, or PhD) Re-verification will take place no less than every 3 years.

Relevant Work Experience:   Minimum five (5) years direct behavioral health clinical and managed care experience required. Call Center, Customer Service experience a plus. Demonstrated experience establishing relationships and effectively engaging with members and providers through telephonic communication to obtain necessary information and facilitate care in multiple settings. Demonstrated work experience to influence and negotiate effectively managing patient care and health care outcomes. Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up. Must be educated in current principles and procedures of behavior health care. Managed care and state specific expertise and knowledge of community resources preferred.

Knowledge, Skills & Abilities:

  • Microsoft Office products fluency

  • Analytical and problem solving ability

  • Excellent written and verbal communication skills

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

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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