(Archived) BH Care Manager

JOB TITLE (#2316): BH Care Manager - New York, NY

An established insurance company with locations throughout New York is seeking a BH Care Manager to join its growing team. This company provides the highest quality healthcare services to residents of the Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products. They have been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Compensation and Benefits:

• The salary range for this position is $80,000 - $83,000 / yr
• This is a Full-time position
• Health Insurance Plans
• Flexible Spending Account Programs
• Management or Union Benefits
• Leaves Benefits
• Special Leave of Absence Coverage (SLOAC)
• Retirement Savings Plans
• Additional Savings Plan
• Transit Benefit
• Direct Deposits
• Municipal Credit Union (MCU)

Requirements:

• Must have a current valid unrestricted NY State License (LCSW, LMSW, or LMHC)
• CASAC is preferred if held in addition to one of the above stated licenses
• Must have at least 1-3 years of Behavioral Health Managed Care Case Management experience
• Must have an overall 3-5 years of Behavioral Health (Serious Mental Illness & Substance Use Disorder) experience preferably in a Psychiatric Hospital Inpatient and/or Outpatient experience
• Must have a working knowledge of NY State Health Home System and Plan of Care process
• Must have a Case Management Experience within the Integrated Collaborative Care Model Approach
• Knowledge of Psyckes, E-Paces, HCS (UAS) MAPP, Microsoft Teams Video knowledge is preferred
• Must have strong interpersonal and assessment skills, the ability to remain calm and poised with challenging members who often present as in a constant state of crisis
• Must have previous history of conducting home visits to members as well as assessing them bedside during an inpatient hospitalization or at their long-term Substance Abuse Residential setting
• Previous Quality Management liaison experience with hospitals and other large volume providers to address cost. as well as HEDIS/QARR quality performance is preferred
• Bilingual is preferred

Responsibilities:

• Clinically assess members for acute behavioral and physical health needs. Generating referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement.
• Expected to meet with members in their homes, shelters, other residential settings, community agencies, hospital inpatient units, and/or day hospital programs.
• Conduct initial and ongoing Behavioral Health clinical assessments.
• Develop a formal plan of care for all services needed for the member.
• Notify physicians of any changes in members’ plan of care. Follow up with assigned nurses for clinical updates to plans of care.
• Document IDT care coordination notes between both internal staff and external BH providers and caregivers.
• Attend and prepare for bi-Weekly Interdisciplinary Care Team (ICT) meetings which will feature newly enrolled, frequently admitted, high-utilizing at-risk members.
• Assist members with the coordination of services from various settings as appropriate. Including facilitating discharge from acute settings and alternate settings. Provides Care Coordination throughout the continuum of care. Optimizes both the quality of care and the quality of life for the company members.
• Assist providers with achieving pay-for-performance goals and examine the feasibility of Value-Based Payment with high-volume providers for Mainstream Medicaid.
• Educate providers on medication and treatment compliance while also promoting the use of Long Acting Injectables.
• Enlist existing provider network in promoting first-episode psychosis treatment.
• Documents in a comprehensive manner to ensure that all goals, interventions, and care coordination activities for each member in the DCMS system, and other applicable software programs, are compliant with professional standards and regulatory guidelines.
• Evaluate housing needs appropriately and assist with the housing application process. Collaborating timely with the company’s internal housing team for supportive assistance.
• Contributes to the company’s corporate goals through ongoing execution of member care plans and member goal achievement.
• Performs other appropriate Behavioral Health Departmental duties and participates in other special projects as assigned, including, but not limited to, audit review and preparation, quality improvement, community health education, facility/provider relations, and marketing activities.