Behavioral Health Care Manager, Licensed (Hybrid)

divh2Job Title/h2pFind joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience!/ppUnder the direction of department leadership, this position focuses on a person-centered model of care which takes into account the members medical, behavioral, and social needs. This position provides high quality, effective care management to IEHP members ensuring coordinated continuous care. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the department. The individual in this position is to utilize their clinical expertise to support and engage Members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members within their care team, as well as external partners, to ensure a seamless transitions of care experience. This position is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of Behavioral health and its importance in whole health, to those within IEHP and in the community./ppCommitment to Quality: The IEHP Team is committed to incorporate IEHPs Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation./ph2Additional Benefits/h2pIEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more./pulliCompetitive salary/liliCalPERS retirement/liliState of the art fitness center on-site/liliMedical Insurance with Dental and Vision/liliLife, short-term, and long-term disability options/liliCareer advancement opportunities and professional development/liliWellness programs that promote a healthy work-life balance/liliFlexible Spending Account Health Care/Childcare/lili457(b) option with a contribution match/liliPaid life insurance for employees/liliPet care insurance/li/ulh2Key Responsibilities/h2ulliEstablish and continuously model supportive and collaborative relationships with members, colleagues, and external partners./liliModel the highest ethical behavior in care for Members, as well as in relationships with co-workers, Leaders, internal, and external partners./liliModel commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team./liliParticipates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members./liliWorking in a lead training capacity by providing formal and informal clinical training and other learning and development activities to support department Team Members on behavioral health conditions, including treatments and evidence-base for treatment (within areas of expertise/scope) as well as provide onboarding and ongoing training to department Team Members./liliPromote a collaborative and effective working environment within the department or those outside BH discipline by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions to provide integrated care to IEHP members./liliParticipate in committees, conferences, and any other meetings as required or directed by department managers or directors./liliResponsible for primarily working with a caseload of Members with behavioral health needs./liliAdvocate for Members to receive the highest quality care, in a timely manner, within IEHPs network by referring to appropriate internal partners such as behavioral health, Enhanced Care Management, and complex care management./liliIn conjunction with department leadership, the Licensed Behavioral Health Care Manager is responsible for providing consultation for the non-licensed Members of the team when discussing tasks of a clinical nature./liliResponsible for engaging with Members to provide effective care management, both in-person and on the phone, including linkage to resources and support in transitions of care, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, facilitating member self-efficacy and self-management to improve the Members ability to manage their own health, and all other activities associated with high quality, evidenced-based care management./liliEnsures documentation is accurate and in compliance with regulatory requirements and accreditation standards./liliAssist Members with care coordination needs, including, but not limited to the following:/liulliConduct comprehensive, holistic assessment both telephonically as well as in person (facility or home visits)./liliAssimilate assessment information to assist, in collaboration with the ITC Team and the facility, in developing a discharge plan or an individualized care plan (ICP)./liliCommunicate ICP or discharge plan with Member, approved family or caregiver and other Members of the care team./liliCoordinate with internal and external health partners to support Members comprehensive care needs. Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services./liliParticipate in inter/transdisciplinary care team meetings to share information, update and inform care plan./liliParticipate and lead (as necessary) care transition plan responsibilities./liliEngage in proactive, member-centered utilization and quality review of Behavioral Health services by members./liliProvide crisis intervention to individuals, as well as providing support and clinical guidance to others who engage in this work./liliResponsible for any other duties as required to ensure successful care management processes and Member outcomes./liliProvide transitional care services to Members transitioning from one care setting to the next such as assisting the Member with PCP appointments, transportations, and coordination of DME and home health./liliSupport Member through all care transitions by making outreach to ensure all care needs are met before closing the Member out to transitions of care. Providing care coordination, linkage to resources, and facilitating Member self-efficacy and self-management./liliPerform any other duties as required to ensure Health Plan operations and department business needs are successful./li/ul/ulh2Qualifications/h2pEducation Requirements/pulliMinimum of three (3) years of experience performing or facilitating Behavioral Health/Medical Social Work services/liliExperience in motivational interviewing and/or other evidenced-based communication strategies/liliExperience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory/liliPossession of an active, unrestricted, and unencumbered license in a Social Services related field issued by the California Board of Behavioral Sciences required (LCSW or LMFT preferred)/liliBehavioral Health/Medical Social Work services experience in a health clinic psychiatric hospital, medical facility, or health care clinic strongly preferred/liliExperience in clinical services, both mental health and substance use preferred/liliMasters degree in Social Work or related field from an accredited institution required/li/ulpKey Qualifications/pulliMust have a valid California Drivers License/liliFamiliarity with providing Behavioral Health Care and discharge planning is required/liliKnowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar empathy-based communication strategies/liliUnderstanding of and sensitivity to multi-cultural communities/liliDeep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management/liliAwareness of the impact of unmitigated bias and judgement on health; commitment to addressing both/liliMust have knowledge of whole health and integrated principles and practices/liliBilingual (English/IEHP Threshold Language) written and verbal is highly preferred/liliHighly skilled in interpersonal communication, including conflict resolution/liliEffective written and oral communication skills, as well as reasoning and problem-solving skills/liliSkillful in informally and formally sharing expertise/liliMust have the resiliency/li/ul/div