Field Behavioral Health Case Mgr II - Florida at Elevance Health in Miami, Florida

Job Description:

Field Behavioral Health Case Manager II - Florida



Location: Seeking candidates that reside in the state of Florida AND are licensed in the state of Florida.



Work Shift: Monday through Friday, 8 am to 5 pm, Eastern Standard Time Zone.



The Field Behavioral Health Case Manager II is responsible for performing case management by conducting in home visits and telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise working with individuals who have complex behavioral/mental health needs.



How you will make an impact:

• Responds to more complex cases and account specific requests.
  
  


• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
  
  


• Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment.
  
  


• Monitors and evaluates effectiveness of care plan and modifies plan as needed.
  
  


• Supports member access to appropriate quality and cost effective care.
  
  


• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.
  
  


• Serves as a resource to other BH Case Mgrs.
  
  


• Participates in cross-functional teams projects and initiatives.
  
  

• Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
  
  


• 
  Current, active, unrestricted license such as either a LCSW, LMHC, LMFT, RN (must have experience in behavioral health) or Clinical Psychologist to practice as a health professional within the scope of licensure in the state of Florida is required.
  
  
  


• Previous experience in case management in person and telephonic in coaching members with a broad range of complex psychiatric/substance abuse and/or medical disorders.
  
  


• Managed care experience required.
  
  

• Experience with complex psychiatric issues and medical disorders is highly preferred.
  
  


• Experience in health coaching and motivational interviewing techniques.
  
  


• Experience with working in the field across multiple community settings.
  
  


• Bilingual communication skills in English and Spanish.
  
  


• ANCC Psych certified preferred.