Patty Nunez (Moderator), MA, CRC, CCM, CDMS, Michelle Baker, BS, RN, RN-WCCM, CRRN, CCM, R. Keith Franklin, PhD, LPC-S, LCDC, ACS, CEAP, CCM, Commission for Case Manager Certification. Obesity is one of the top ten inpatient diagnoses Works effectively with the full spectrum of diagnosis disorders. Integrated Behavioral Health: What Does it Mean in Your When expanded it provides a list of search options that will switch the search inputs to match the current selection. WebThe Florida Behavioral Health Case Management (BHCM) exam is a 100-item, multiple-choice test. Apply to Case Manager, Program Manager, Board Certified Behavior Analyst and more! Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn This is what they told us: 72% of job seekers said "required for my current job" was the biggest reason for earning their Certified Behavioral Health Case Manager (CBHCM) If so, you will be required to list three companies or firms that purchase your services. Behavioral Health Care Manager Job Description, Behavioral Health Technician Job Description, Behavioral Health Care Advocate Job Description, Behavioral Health Specialist Job Description, Collaborates with providers to assess member needs for early identification of and proactive planning for discharge planning, Will serve as key support to the BH Case Manager Ld in implementing identified operational processes/ key projects, Uses appropriate DSM-V screening criteria, knowledge and clinical judgment to assess member needs, Understands and supports the tenets for short term case management, Serves as a resource to other Behavioral Case Managers, The successful hire will be responsible for the review of Long-Term Disability (LTD) and Short-term Disability (STD) claims with complex medical conditions referred for medical assessment, Collaborate with Rehabilitation Case Managers, Maintains clinical records of all patient contact and clinical reviews, according to hospital policy and other regulatory guidelines (i.e., State, JCAHO), Attends department staff meetings (50%) and trainings relevant to position, Basic knowledge and understanding of the Case Management activities and care components of Case Management defined in the Methods and Techniques section, Current active unrestricted license as LCSW or LPC, within the scope of licensure in state you reside in, Current active unrestricted license as a LCSW or LPC within the scope of licensure in state you reside in, Clinical ability to assess claims with complex medical histories which may include claimants with subjective diagnoses, co-morbid conditions, Knowledge of Behavioral Health Case Management theory and techniques required, Requires the ability to work as part of a dynamic, professional health care team, Coordination The case manager will organize, integrate, and modify the resources necessary to accomplish the goals established in the case management plan, Case Manage USFHP patient population during inpatient or outpatient stays for mental health, chemical dependency and eating disorder issues, For external USFHP referrals for psychiatry and/or therapy, provide ongoing review of outside care, Advise patients and family members regarding benefits, resources and home management options.Assist physicians (internal and external) with management and coordination of care, Collaborate with physicians to identify the plan of care for admission and appropriate disposition of patients from hospital, including the expected outcome(s) of patients on discharge, Work at varied clinic and provider locations as needed, Willingly participates in various committees, task forces, projects, and quality improvement teams, as needed and assigned, Collaborates with clients, families and providers by assessing patient needs, facilitating and implementing clinical care, planning, education, monitoring and evaluating specific services and advocating health care needs on an individual basis either by phone, Applies knowledge of disease continuums, expected patient outcomes and community services available, Applies knowledge of reimbursement practices, cost analysis approaches and provider contract arrangements, Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to colleagues, members, customers, contracted providers, and vendors, Demonstrated ability to manage multiple priorities required, Requires an understanding of and ease of use with computer, an intermediate understanding of standard database and spreadsheet software (Excel) Word Processing software (Word), Requires the ability to handle sensitive and confidential information, Chronic Care Professional Certification through the Health Science Institute preferred, Must be a licensed Registered Nurse (RN) in the state of Connecticut, Conduct Behavioral Health Assessments and update Treatment plans to reflect needed services for authorization (if licensed) or partake in Treatment planning if unlicensed, Participate in weekly treatment team meetings to assist in the development of treatment plans with appropriate therapeutic interventions, notifies professionals of any unusual observations or incidents, client progress, and follow up, ICM providers are expected to carry an individual case load of 20 to 30 clients, Provide immediate, community based support to members and providers in assigned regional settings, Provide authorizations using the CONNECT system, Identifies high-risk enrollees, creates care plans to address problems while maintaining quality of care, Screens and identifies high-risk/cost, catastrophic, long term chronic cases which will benefit from care management services, Will serve as key support to the BH Case Manager Lead in implementing identified operational processes/ key projects, Provide case management and care coordination services for at-risk patients, including patients with complex medical, behavioral and psychosocial issues, Demonstrated strategic planning, population utilization management and the ability to integrate multiple aspects of medical center operations, Experience in behavioral health settings that include inpatient, partial, and/or outpatient care required, Ability to move between company work station, Minimum of 3 years clinical practice experience, Demonstrated working knowledge of QI, UM, benefit plans fiscal management, and various payment methodologies preferred, Ensure a systematic approach to the coordination of health services for patients along the care continuum in order to improve the patient experience, contain health expenditures and improve quality, Assist members with coordinating access to appropriate care and services in an effort to improve or maintain the psychosocial, functional status and independence, Collaborate with treatment team to develop a successful aftercare plan, Communicates with community providers/facilities as company liaison to foster good rapport and relationships and to identify new programs, May include coaching for Chronic Conditions and Substance Use, Gathers pertinent clinical date on assigned patients through medical record review and communication with patients assigned clinical care manager, nursing staff and psychiatrist, Provides admission and ongoing clinical reviews, Monitors quality aspects of care on assigned patients and initiates request for Quality Review according to policy, Provides for appropriate response to denials and appeals for continued stay, Position is part of the Behavioral Health Intensive Outpatient Services program and may include development and facilitation of IOP/ICMP programs, collaboration and overview of contracted programs and providers, interdisciplinary/interdepartmental collaboration within Kaiser, development and clinical review of treatment plans, and other duties as assigned, Requires two to five years experience working in a behavioral health setting, preferably psychiatric inpatient experience, Masters degree in behavioral health and an unrestricted license as a LCSW, LMFT or LPC or a PhD, PsyD or RN license (with behavioral health experience), Current active unrestricted license as an RN, LCSW, LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in CA, 3 to 4 years of direct psychiatric and/or substance abuse experience, Experience working with electronic databases, mulitple PC's, data entry, and typing, Builds collaborative relationships with Clinical Care Management and Tucker Intake teams to achieve optimal patient outcomes, Adhere to clinical standards of care through collaboration with providers, Use population-based case and disease management approaches and application of clinical protocols, which are integral to the program, Performs care management for specialty programs in a telephonic customer- facing environment which involves utilizing a coaching approach that provides support and resources to the customers, Assess the case management needs of high risk patients diagnosed with complex, co-occurring medical and behavioral health or substance use disorders, Assist patients in creation and implementation of care plan goals based on health status, behavioral health issues and psychosocial needs, including lifestyle behavior change goals to improve health outcomes, Oversee the flow of treatment information across providers and within the care team in order to maximize patients physical and emotional well-being, Conduct Pt pre-visit planning for high risk patients and communicate patient health alerts to the care team, Available for consultation to Care Management staff to inform and support chronic disease case management interventions to improve health outcomes, Maintain caseload size established by the department and meet monthly productivity core service requirements, Knowledge of Psychiatry and Addiction Medicine patient populations in inpatient and outpatient settings, Bachelor's degree required (or higher) in a health related field and licensure as a health professional where available, Three (3) years clinical practice experience in Mental Health and or Substance Abuse, Ability to work independently, yet collaboratively within a team structure, Behavioral health home care experience or community mental health experience, Incumbent must possess at least years of experience working specifically with adults with behavioral health needs to be considered for an interview.
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