Behavioral Health Care Manager
AmeriHealth Caritas
Role Overview: The Behavioral Health Care Manager (BHCM) is responsible for providing specialized behavioral health care coordination and care management services to support members in achieving optimal mental health outcomes. This role serves as a key point of contact for members, caregivers, providers, and external partners, ensuring continuity of care across all service levels. The BHCM reports to the Behavioral Health Manager in Integrated Health Care Management and supports members through engagement, assessment, care planning, and service coordination.
Work Arrangement:
This role is remote, and the associate must be in Louisiana (LA)
Travel may be required within a 50-mile radius to engage with members, providers, and community partners.
Associates must have access to a reliable high-speed internet connection to support daily responsibilities, with a minimum download speed of 50 Mbps and an upload speed of 5 Mbps. Fully remote associates residing in states where internet service is required by contract, law, or regulation may be eligible for reimbursement.
Responsibilities:
Coordinate behavioral health care services for members, including assessment, care planning, and goal setting
Engage members, caregivers, and providers to support individualized treatment and care plans
Serve as a single point of contact and advocate for members in the care coordination program.
Facilitate care transitions across levels of care and ensure continuity of services
Collaborate with state agencies, community-based organizations, providers, and practitioners to coordinate care.
Act as a liaison between members and external entities, including judicial systems and Department of Health and Hospital (DHH) representatives
Support judicial-related activities by serving as a point of contact for judges and court personnel and attending court proceedings when required
Maintain familiarity with drug court, juvenile court, family court, and criminal court processes, and provide education on access to services
Serve as liaison for Local Government Equity programs and Permanent Supportive Housing (PSH) initiatives, addressing inquiries, barriers, and resolution needs
Participating in Human Services Interagency Council (HSIC) meetings as requested
Ensure delivery of high-quality, cost-effective care while managing resources appropriately.
Education & Experience:
Master’s degree from an accredited institution in a behavioral health-related field (e.g., Social Work, Counseling, Marriage and Family Therapy)
7 years of experience in behavioral healthcare operations, including case management, mental health, or related fields
Experience working within Medicaid and Medicare behavioral health environments
Background in utilization management, care coordination, and population health management
Demonstrated experience working with interdisciplinary healthcare teams
Experience using electronic health records (EHR) and data analytics tools
Experience developing, implementing, or supporting behavioral health programs and initiatives
Licensure:
Active and unrestricted licensure required in one of the following: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT)
Eligibility to obtain Certified Case Manager (CCM) certification within one year of hire
Valid driver’s license and current auto insurance required
Skills & Abilities:
Strong care coordination and case management skills in behavioral health settings
Knowledge of Medicaid and Medicare behavioral health regulations and compliance standards
Ability to engage and build relationships with members, caregivers, and providers
Strong communication and stakeholder management skills, including interaction with judicial and government entities
Ability to assess member needs and develop effective care plans
Analytical and problem-solving skills to identify care gaps and implement solutions
Ability to manage complex cases and coordinate across multiple systems
Organizational skills with the ability to manage multiple priorities and meet deadlines
Ability to educate stakeholders and provide guidance on behavioral health services and processes
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
$5,973 - $10,766 per month
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