Behavioral Health Case Manager

🕒 July 23

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 67%

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Blue Cross and Blue Shield of Louisiana

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1934

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross Blue Shield Association, offering a range of health insurance products and services in the state of Louisiana. The company provides health, dental, and travel insurance options, including Medicare Advantage plans such as HMO and PPO. They focus on delivering comprehensive healthcare coverage through various plans to meet varying customer needs, while partnering with doctors, hospitals, and clinics to ensure quality care and support. Additionally, the company emphasizes wellness programs, cost-saving opportunities, and accessibility for its members.

📋 Description

• Conduct comprehensive behavioral health assessments to identify member needs, strengths, and goals • Develop, implement, and monitor individualized care plans with members, families, and providers • Identify and coordinate behavioral health services across inpatient, outpatient, and community-based settings • 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 emergency-services coordination • Maintain current knowledge of behavioral health best practices, regulatory requirements, and community resources • Perform other job-related duties within scope of responsibilities

🎯 Requirements

• 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 Bachelor’s degree • LPN license in Louisiana plus 2 years of related experience can replace the bachelor’s degree • Minimum of three years of experience in case management including behavioral health, 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 • Comfort 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 • Residency in or relocation to Louisiana is preferred for all positions • Successful completion of background and pre-employment drug screening required before hire

🏖️ Benefits

• Resources to support employee health, learning, skill development, professional growth, and community service • Reasonable accommodations for individuals with disabilities • Smoke- and tobacco-free workplace • Drug-free workplace • Pre-employment background and drug screening