{"id":2133,"date":"2016-10-01T20:10:30","date_gmt":"2016-10-01T20:10:30","guid":{"rendered":"http:\/\/nexushc.com\/?p=2133"},"modified":"2016-11-01T18:41:38","modified_gmt":"2016-11-01T18:41:38","slug":"behavioral-case-manager-ne","status":"publish","type":"post","link":"http:\/\/nexushc.com\/?p=2133","title":{"rendered":"Behavioral Case Managers (FL, IN, NE, TX, AZ, WA)"},"content":{"rendered":"

FL; IN; Omaha; Tempe or Tucson, AZ; Various Washington and Texas locations<\/span><\/p>\n

Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life. Assess members\u2019 current functional level and, in collaboration with the member, develop and monitor the Case Management Treatment Plan, monitor quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the High Risk Case Management functions. Collaborate with both medical and behavioral providers to ensure optimal care for members.<\/p>\n

\u2022 Work telephonically with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals. Empower patients to help them improve their quality of life.
\n\u2022 Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.
\n\u2022 Participate in on-going communication between case management staff, utilization management staff, health plan partners and contracted providers.
\n\u2022 Assist with the implementation of policies and procedures regarding case management and utilization management functions.
\n\u2022 Maintain compliance with federal and state regulations and contractual agreements.
\n\u2022 Coordinate case management functions with other departmental functions as assigned.
\n\u2022 Monitor the effectiveness of existing procedures and outreach\/intervention efforts.
\n\u2022 Conduct appropriate knowledge\/education and interventions for members defined to be at risk.
\n\u2022 Monitor data to address trends or potential quality improvement opportunities including provider issues, service gaps, member needs.
\n\u2022 Maintain HIPAA compliance.<\/p>\n

Requirements<\/strong>
\n\u2022 Master’s degree in Behavioral Health.
\n\u2022 3+ years of case and\/or utilization management experience.
\n\u2022 Experience in psychiatric and medical health care settings.
\n\u2022 Working knowledge of utilization review procedures, and familiarity with mental health community resources.
\n\u2022 Thorough knowledge of a specialized or technical field such as clinical nursing, case and\/or utilization management involving knowledge plus the application of basic theory.
\n\u2022 Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
\n\u2022 Unrestricted license as a LIMHP, LCSW, LMFT, LPC, PhD, PsyD or RN.<\/p>\n

Apply Now<\/span><\/a><\/p>\n

Not sure if you want to apply?
\nContact us for more info:
\nRebecka Boyd
\n804-502-0870
\n nexusexecutivesearch@gmail.com<\/a><\/span><\/p>\n