Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Nurse Case Manager (Behavioral Health)
Job
Mindlance
Remote
Full-Time
Review key factors to help you decide if the role fits your goals.
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
64
out of 100
Average of individual scores
Skill Insights
Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.
Job Description
Nurse Case Manager (Behavioral Health)#26-17967
Durham, NC
Remote Job Description 100% Remote in the 28 states - North Carolina, Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming will be allowed to maintain their current residence and work remotely. SC/NC - 1st preference This is a backfill Req for our candidate Cassandra Anthony-Sumlar (hired on 1079)
Description:
- Serve as a team member on a multidisciplinary team, coordinating care, resources and/or services for members to achieve optimal clinical and resource outcomes.
- Utilize applicable clinical skillset and perform comprehensive assessments to determine how to best collaborate with members, family, internal partners and external services/providers on plans for treatment, appropriate intervention and/or discharge planning.
- Develop a member-centric plan tailored to members' needs, health status, educational status and level of support needs; identify barriers to meeting goals or plan of care
- Utilize community resources and funding sources as needed in the development of the plan of care.
- Perform ongoing monitoring and management of member which may include scheduled follow-up with member, discussion of plan with member, appropriate services/education to address needs, appropriate referrals with supporting documentation, assessment of progress towards goals, modification of plan/goals as needed, with contact frequency appropriate to member acuity.
- Evaluate and facilitate care provided to members through the continuum of care (physician office, hospital, rehabilitation unit, skilled nursing facility, home care, etc).
- Educate members and encourage pro-active intervention to limit expense and encourage positive outcomes
- Effectively document all aspects of the plan from the initial assessment, development of the plan, implementation, monitoring, and evaluating outcome.
- May outreach directly to members identified as high risk, high cost, or high utilization cases.
- May review alternative treatment plans for case management candidates and assess available benefits and the need for benefits exception or flex benefit options, where eligible.
- May evaluate medical necessity and appropriateness of services as defined by department.
- As needed, develop relevant policies/procedures, education or training for use both internally and externally. Hiring Requirements
- RN, RD or LCSW with 3 years of clinical and/or case management experience required. For some roles a Master's in Social Work with 5 years of related experience may be considered.
- For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience.
- Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties.
- For some roles, additional specialty certification (i.