Posted in Nonprofit - Social Services 30+ days ago.
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Location: San Diego, California
This position is responsible for the assessment, reassessment, care planning and coordination of care and services for Members enrolled in the case management program. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care coordination. Regularly communicates with the member’s PCP and other providers, and integrates the member, caregiver and other provider feedback into the assessment and planning.
•Maintains a caseload of members enrolled in the case management program, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings.
•Serves as the primary point of contact throughout the treatment episode at the levels of care.
•Coordinates with the interdisciplinary team of providers, vendors, facilities, discharge planners, nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings.
•Maintains timely, complete and accurate documentation in compliance with regulatory policies and procedures.
•Participates in complex case rounds and/or meetings and consults with Physician Adviser/Medical Director on regular basis concerning the progress of members.
•Provides consultation to PCP/Providers as indicated with consent of client. Identifies barriers to accessing services and assists members as needed.
•Participate actively in the Quality Improvement program.
•Other duties as assigned.
Available for in-office or remote, must reside and be licensed in CA.
General Job Information
TitleCase Manager BH
Job FamilyCare Management
CountryUnited States of America
FLSA StatusUnited States of America (Exempt)
Recruiting Start Date3/1/2018
Date Requisition Created3/1/2018
EducationAssociates: Nursing (Required), Masters: Behavioral Health (Required)
License and Certifications - RequiredCurrent licensure required for this position that meets State, Commonwealth or customer-specific requirements. - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
License and Certifications - PreferredCCM - Certified Case Manager - Care Mgmt
Other Job Requirements
ResponsibilitiesOne or more of the following licensure is required: LCSW, LMFT, LPCC or RN.
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled