Care Plan Reviewer - Clinical Case Manager Behavioral Health
Core
A Clinical Case Manager who assesses member needs, develops care plans, coordinates with providers, and manages complex behavioral health cases for children and families.
Role type
Senior IC clinical case manager (behavioral health)
Builds
Individualized care plans and psychosocial wraparound services
Domain
Behavioral health / Child welfare / Managed care
Required skills
Clinical judgment, crisis intervention, motivational interviewing, case management, regulatory compliance, data analysis, family systems knowledge, community resource navigation, cultural competence, care coordination
Preferred skills
Managed care utilization review, discharge planning, independent clinical license (LPCC, IMFT, LISW)
Technologies
MS Office Suite, multi-system navigation
Responsibilities
Conduct comprehensive assessments of member needs and eligibility; develop and monitor plans of care; perform crisis intervention and follow-up; consult with Medical Directors and supervisors; present cases at multidisciplinary conferences; identify and escalate quality of care issues; coach members on healthy lifestyle choices.
Seniority
Senior, hands-on IC