Care Plan Reviewer - Clinical Case Manager Behavioral Health
Core
Conducts comprehensive behavioral health assessments, develops care plans, and coordinates psychosocial wraparound services for children and youth in complex community cases.
Role type
Senior Clinical Case Manager (Behavioral Health)
Builds
Individualized care plans and coordinated service delivery for children/youth in community settings
Domain
Behavioral Health / Child Welfare / Community Services
Required skills
Clinical judgment, crisis intervention, motivational interviewing, case management, regulatory compliance, data analysis, family systems knowledge, community resource navigation, cultural competence, care plan development
Preferred skills
Managed care experience, utilization review, discharge planning, independent clinical license (LPCC, IMFT, LISW)
Technologies
MS Office Suite, multi-system navigation
Responsibilities
Conduct comprehensive assessments of referred members' needs and eligibility; perform crisis intervention and follow-up; develop and monitor established plans of care; consult with Medical Directors and supervisors to overcome care barriers; present cases at multidisciplinary conferences; identify and escalate quality of care issues; coach members to make independent healthy lifestyle choices.
Seniority
Senior, hands-on IC
