Behavioral Health Case Manager

🕒 Julho 23

⚜️ Louisiana – Remoto

⚜️ Louisiana – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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👻 Score fantasma 81%

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Blue Cross and Blue Shield of Louisiana

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1934

🏥 Saúde

🛡️ Seguros

⚕️ Seguro de Saúde

Healthcare • Insurance • Healthcare Insurance

A Blue Cross e Blue Shield of Louisiana é uma licenciada independente da Associação Blue Cross Blue Shield, oferecendo uma gama de produtos e serviços de seguro de saúde no estado de Louisiana. A empresa oferece opções de seguro de saúde, odontológico e de viagem, incluindo planos Medicare Advantage, como HMO e PPO. Eles se concentram em fornecer cobertura de saúde abrangente através de vários planos para atender às diferentes necessidades dos clientes, enquanto fazem parcerias com médicos, hospitais e clínicas para garantir cuidado e suporte de qualidade. Além disso, a empresa enfatiza programas de bem-estar, oportunidades de economia de custos e acessibilidade para seus membros.

Descrição

• Coordinate and manage behavioral health services for members enrolled in Medicare and Commercial insurance plans, telephonically or in person • Conduct comprehensive behavioral health assessments • Develop, implement, and monitor individualized care plans • Identify and coordinate inpatient, outpatient, and community-based behavioral health services • Facilitate level-of-care transitions and follow up after hospitalizations or emergency interventions • Educate and support members and families regarding behavioral health conditions, treatment options, and community resources • Collaborate with Utilization Management, Customer/Member Services, medical case managers, primary care providers, and behavioral health specialists • Document case management activities in compliance with regulatory and organizational standards • Participate in interdisciplinary case rounds and quality improvement initiatives • Staff the company's 24/7/365 crisis call line on a rotating schedule, including weekends and holidays • Provide immediate crisis intervention, risk assessment, and coordination of emergency services • Maintain current knowledge of behavioral health best practices, regulatory requirements, and community resources • Perform other job-related duties within scope of responsibilities

🎯 Requisitos

• Residency in or relocation to Louisiana is preferred • Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support • Bachelor's degree in nursing, healthcare, or a related field OR master's degree in social work, counseling, or behavioral health • RN license in Louisiana can replace a bachelor's degree OR LPN license in Louisiana plus 2 years of related experience can replace the bachelor's degree • Minimum of 3 years of experience in case management, behavioral health clinical practice, or behavioral health crisis intervention • LPC, LCSW, LMFT, RN, or LPN license required • Strong clinical assessment and critical thinking skills • Excellent communication and interpersonal abilities • Strong understanding of behavioral health diagnoses and treatment modalities • Proficiency in electronic health records and case management systems • Ability to work independently and as part of a multidisciplinary team • Ability to make decisions based on established policies and procedures • Comfortable working in a fast-paced, dynamic environment with rotating crisis line responsibilities • Case Management Certification preferred but must be attained within 3 years after date of hire • Experience with Medicare and Commercial populations preferred • Experience in a managed care or health insurance setting preferred • Familiarity with CPT codes and billing practices preferred • Experience in crisis intervention and de-escalation techniques preferred • Must pass background and pre-employment drug screening

🏖️ Benefícios

• Resources to live well, be healthy, continue learning, develop skills, grow professionally, and serve local communities • Reasonable accommodations for individuals with disabilities • Smoke- and tobacco-free company properties • Drug-free workplace • Pre-employment drug screening