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Behavioral Health Care Manager
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Calibrated Healthcare
Ontario, CA (In Person)
$83,200 Salary, Full-Time
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Job Description
Behavioral Health Care Manager Calibrated Healthcare - 3.7 Ontario, CA Job Details Full-time From $40 an hour 3 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Life insurance Qualifications Resource identification in social services Teamwork Microsoft Excel Microsoft Outlook Management Managed care Phone communication Patient assessment Working with pediatric populations Working with individuals with chronic illnesses Working with geriatric patients Family counseling Community resource coordination in health services social work Master's degree Administrative experience Clinical case management Managing patients as a nurse case manager Psychological support for patients Driver's License Emotional support for patients Case management Adolescents Working with individuals with mental health conditions Patient interaction Patient treatment Geriatrics Community outreach case management method Client interaction via phone calls
Full Job Description Company Information:
Calibrated Healthcare is a Business Process Outsourcing (BPO) company providing healthcare administration and administrative support through staffing augmentation for medical management in the Healthcare industry. Headquartered in Ontario, California, we currently have offices in India and the Philippines providing various administrative services to our clients. Calibrated is an Enhance Care Management (ECM) provider for IEHP, we continue to grow with the services we offer as well as the clients we serve.Position Overview:
An ECM Care Team is a multidisciplinary, integrated team comprised of four primary roles: Licensed Practical Nurse Care Manager (LVN CM), Behavioral Health Care Manager (BH CM), Care Coordinator (CC), and Community Health Worker (CHW). ECM is a statewide Medi-Cal managed care plan (MCP) benefit that provides person-centered, community-based care management to the highest need members. This job description is for the Behavioral Health Care Manager position. The BHCM is a master's-level clinician who provides support to ECM Members with behavioral health needs, with a focus on those experiencing serious mental illness (SMI) and/or substance use disorders (SUD), using brief interventions and behavioral activation techniques.Responsibilities:
- Responsible for primarily working with a caseload of Members with complex medical and behavioral needs: (primarily tier 1 and 2 as defined in Risk Grouping-Initial Tiering.)
- Gathers information to complete all assessments needed and to incorporate assessment outcome with Members' health need goals.
- Engages Members and supports/encourages Member activation towards achievement of health goals.
- Responsible for promoting a collaborative and effective working environment within ECM by engaging in evidenced‐based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions;
- Responsible for utilizing brief behavioral health therapeutic interventions as necessary to improve the member's ability to manage their own health
- Tracks medical and behavioral health outcome measures in the web‐based care management platform.
- Provides Member and family education about chronic medical and behavioral health conditions to improve health literacy;
- Provides both formal and informal training and support to ECM Members on behavioral health conditions, including treatment approaches and evidence-based practices for care
- Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services
- Assist the team's License Practitioner to prioritize Member cases for systematic population/caseload review.
- Assist the team's License Practitioner to communicate recommendation across the health care team.
- Assist the License Practitioner with team‐based case reviews.
- Works with Members to identify health/wellness goals and incorporates these goals into Health Action Plans/Shared Care Plan that facilitate communication among Members and Providers.
- Champions healthy lifestyle changes.
- Collaborate on member care issues with other team members, participating in Systematic Case Reviews (SCR) and ad hoc case reviews
- Under the supervision of the team's License Practitioner coordinates physical care management and care coordination relationships with external healthcare Providers.
- Highlights treatment follows‐up and medication alerts to the team's License Practitioner.
- Compile Member medication list.
- Ensures smooth transitions of care, coordination for Members that are transitioning from one care setting to another with hospitals and facilities, regarding member admission/discharges
- Responsible for warm hand-offs to local crisis resources as needed to address behavioral health needs
- Assist the License Practitioner to tracks and ensure all required screening, assessments and Shared
- Care Plan are completed within set timeframe to avoid non‐compliance.
- Monitors CHA's (Comprehensive Health Assessment) for sign off by the team's License Practitioner upon completion by other care team members.
- Tracks and assures required assessments and screenings are performed, including Comprehensive Health Assessment and shared care plan
- Aids RNCM in overall review of member CHAs
- Responsible for ongoing engagement with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as motivational interviewing) that promotes collaboration between the member and the medical/behavioral team, as well as to increase the member's sense of control over their whole health
- Provides consultation for all members of the team when discussing tasks of a clinical nature
- Review clinical measures report and HEDIS outcome measures to address care gaps.
- To conduct face-to-face visits as determined by the Member's tier.
Educational Requirement:
- Master's degree in related field, LCSW or LMFT with experience serving the targeted population and three years' experience.
Skills & Experience Requirements:
- Familiar with community resources.
- Ability to provide community based, in-person case management.
- Holds a valid CA driver's license.
- Perform outreach in the community weekly
- Minimum two years of direct patient care experience in health care or a related field.
- Practical experience with managing patients with complex medical conditions and BH therapy post acute.
- Experience in managerial role/Clinical Operations/Front & Back Office.
- Excellent communication skills in verbal, written, and interpersonal communication.
- Age-Specific Individuals served/responsibility: Medi-Cal eligible Geriatric Adult, Adults, Children and Adolescents with SDOH (Social Determinants of Health).
- Good organizational skills to handle multiple priorities while remaining professional and calm.
- Ability to work with many diverse people, including children, geriatrics and teenagers.
- Effective telephone skills.
- Ability to work independently and as part of a team; be self-directed and flexible.
- Ability to perform functions with minimal supervision.
- Ability to work at a high-volume level of accuracy.
- Ability and willingness to provide emotional support, encouragement and motivation to patients.
- Ability to work independently and as part of a team.
- Proficient in