Behavioral Health Intensive Care Management Coordinator

🔥 39 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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BlueCross BlueShield of South Carolina

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Insurance • Finance

BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.

📋 Description

• Perform primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy of assigned members. • In person contact with the member is required. • Collaborate and communicate with the member, member's family/caregiver and other healthcare professionals involved in the member’s care. • Ensure care coordination and case management activities are aligned with members' risk levels and identified strengths, preferences, needs and desired outcomes. • Assist with implementation of health management activities/programs for membership. • Complete in-person assessments in the member’s residence or least restrictive environment. • Monitor member compliance and success rate. • Assist with development of strategies to increase effectiveness of and participation in health management programs.

🎯 Requirements

• Bachelor's degree from an accredited university or college in Nursing, Health Administration, Health Promotion, Exercise Science, Education/Training, Social Work, or health-related field with a minimum of 45 documented training hours related to specialty area issues and treatment. • 4 years of recent clinical experience in a defined Behavioral Health specialty area. Specialty areas include: Serious Mental Illness (SMI), Trauma and Post-Traumatic Stress Disorder, Substance Use Disorders (SUD), Child and Adolescent Behavioral Health, and Cognitive Disorders. • At least 3 years’ experience working with people with specified health conditions. • Understanding of insurance and benefit programs as it relates to health management coverage. • Working knowledge of word processing, spreadsheet, database, and presentation software. • Good judgment skills. Demonstrated customer service, organizational, and presentation skills. • Ability to drive and be available on nights and weekends.

🏖️ Benefits

• Subsidized health plans • Dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more