Behavioral Health Case Manager II

Behavioral Health Case Manager II

This is a virtual eligible role. Indiana residency is required. General business hours, Monday through Friday - Eastern time zone.

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.

Primary duties may include but are not limited to:

• Responds to more complex cases and account specific requests.
• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
• Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment.
• Monitors and evaluates effectiveness of care plan and modifies plan as needed.
• Supports member access to appropriate quality and cost effective care.
• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.
• Serves as a resource to other BH Case Mgrs.
• Participates in cross-functional teams projects and initiatives.

Required Qualifications:

• Requires MA/MS in social work counseling or a related behavioral health field, or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
• Current active unrestricted license such as LCSW, LMHC, LPC, LMFT, LMSW, RN or Clinical Psychologist to practice as a health professional issued by the state of Indiana is required.
• Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.
• Managed care experience required.

Preferred Qualifications:

• Experience working with members who have serious mental illness (SMI) is strongly preferred.
• Experience with SDOH needs/barriers (food, housing, transportation, etc.) preferred.
• Physical health case management (whole health) is very helpful for this role.
• Experience with care coordination and discharge planning is preferred.

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: MED > Licensed/Certified Behavioral Health Role