Care Plan Reviewer- OhioRISE
Core
Review assessment and care planning documentation for children with complex behavioral health needs to ensure appropriate utilization of resources and optimal outcomes.
Role type
Senior clinical case manager (behavioral health)
Builds
Individualized trauma-informed care plans and safety strategies for children and families
Domain
Behavioral health / Child welfare / Managed care
Required skills
Clinical judgment, trauma-informed interventions, motivational interviewing, case management, family systems knowledge, regulatory standards interpretation, data analysis
Preferred skills
Managed care utilization review, discharge planning, direct clinical practice in hospital/ambulatory settings
Technologies
MS Office Suite, multi-systems navigation
Responsibilities
Review Child and Family-Centered Care Plans and Crisis/Safety Plans; Consult with care coordinators and medical directors; Present cases at multidisciplinary conferences; Coach care coordination staff on wraparound practices; Analyze utilization and clinical data to identify member needs
Seniority
Senior, hands-on IC
