Behavioral Health Complex Care Manager
Core
Manage high-risk, complex behavioral health clients with patterns of inpatient admissions and high emergency utilization through intensive clinical care management, service coordination, and assertive outreach to address social determinants of health.
Role type
Senior IC behavioral health complex care manager
Builds
Client-centered care plans and coordinated service networks for high-utilization behavioral health patients
Domain
Behavioral health / Social work / Medicaid population
Deliverable
client delivery
Required skills
Comprehensive bio-psycho-social-spiritual assessment, care plan development, service coordination (housing, food, transportation, vocational), crisis risk assessment, interdisciplinary collaboration, mobile community care, electronic health record utilization, billing documentation
Preferred skills
Bilingual/multi-lingual skills, experience with psychotic disorders, personality disorders, and substance use disorders
Technologies
Electronic health record systems
Responsibilities
Identify and engage clients for complex care management; execute comprehensive assessments and develop client-centered care plans; refer clients to necessary services including medical treatment, substance use treatment, and social supports; provide consistent outreach and mobile care management in the community; monitor client utilization across the care continuum including ED visits and inpatient admissions; independently address behavioral health crises by completing risk assessments and developing crisis treatment plans; facilitate interdisciplinary consultation through team meetings and clinical reviews; document progress and submit accurate billing within expected time frames.
Seniority
Senior, hands-on IC