Behavioral Health Care Manager - Milwaukee
Phenomenal team and strong career growth as part of this international health plan offering a fully integrated program of care.You CAN make a difference!
-Working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues.
Care Manager will
-Assess members’ current functional level and, in collaboration with the member, develop and monitor the Case Management Care 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 Integrated Case Management functions.
-Collaborate with both medical and behavioral providers to ensure optimal care for members.
-Work telephonically with patients identified as high risk, for both behavioral and physical health issues, and their providers to identify needs, set goals and implement action steps towards achieving goals.
-Empower patients to help them improve their quality of life and ensure an integrated approach to address complex issues.
-Understand and comply with NCQA guidelines and HEDIS measures.
-Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.
- Master’s degree in behavioral health and an unrestricted license as a LCSW, LMFT or LPC, or a PhD, PsyD or RN.
-3+ years of case and/or utilization management experience.
- Experience in psychiatric and medical health care settings.
-Working knowledge of mental health community resources.
License/Certification: Unrestricted license as a LCSW, LMHC, LMSW LMFT, LPC, PhD, PsyD or RN license in WI