CLINICAL CASE MANAGER - INTENSIVE CASE MANAGER in Woburn, MA at Beacon Health Options

Date Posted: 5/17/2018

Job Snapshot

Job Description

ABOUT THE POSITIOpN

We are currently seeking a dynamic CLINICAL CASE MANAGER – INTENSIVE CARE MANAGER to join our team at our office in Woburn, MA.  The Clinical Case Manager – Intensive Case Manager is responsible for outreaching, triaging, assessing, and managing of members referred to Case Management. Responsible for the tracking and managing of members identified as Intensive Case Management (ICM) who may be high risk, high utilizing, at significant clinical risk or under-utilizing services. 

Position Responsibilities:

  • Identification of all assigned ICM Members

  • Outreach and engagement of members

  • Independent and individualized assessment of members enrolled in ICM.

  • Development of a member centric care plan in collaboration with the member and his/her treatment team

  • Managing, coordinating care, and identifying strategies to meet care plan goals of assigned ICM Members

  • Collaboration with community based providers

  • Utilization Review for designated ICM Clients for diversionary levels of care

  • Assist in collection of outcomes information, annual analysis and other reporting and initiatives

  • Telephonic collaboration and coordination with provider and community agencies regarding ICM members and care planning meetings as needed

  • Assist with NCQA and URAC initiatives

  • Urgent and crisis calls

  • Treatment Record Reviews

  • Attend Clinical meetings

  • Utilization Review of non-ICM members as needed

  • Other duties as assigned

Position Requirements:

Education: Master’s Degree or higher or RN

Licensures:

Have either a current, valid, unrestricted independent license in behavioral health or nursing (RN) and practice within the scope of their licensure

      Relevant Work Experience:

      Minimum two (2) years of combined direct behavioral health clinical and managed care experience            

Knowledge, Skills & Abilities:

  • Demonstrated experience establishing relationships and effectively engaging with members and providers through telephonic communication to obtain necessary information for the purposes of care management and coordination

  • Demonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills.

  • Case Managers are required to be educated in current principles, procedures and knowledge domains of case management based on nationally recognized standards of case management and must be a licensed behavioral health clinician or RN All case managers must practice within the scope of their license.

  • Excellent written and oral communication skills

TO APPLY

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Beacon Health Options company 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