HomesteadRecruiter Since 2001
the smart solution for Homestead jobs

Behavioral Health Care Manager (LCSW)

Company: Sunshine State Health Plan
Location: Homestead
Posted on: November 12, 2020

Job Description:

Job Description Position Purpose: Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess members to recommend activities and behavioral routines to meet the social and medical needs of members and their families. Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care. Candidate Education: Required A Master's Degree in Social Work, Psychology, Counseling, Rehabilitation, or other relevant field that provides a foundation to receive a license as required of the position Candidate Experience: Required 2+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning * Essential Functions: * Assesses, plans, implements, monitors and evaluates options and services to meet complex psychosocial health needs of inpatient and outpatient members. Manages a caseload in compliance with contractual obligations and WellCare standards. * * Conducts comprehensive member assessments through root cause analysis based on referred member's needs and benefit plan eligibility, and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. * * Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Works towards achievement of optimal clinical and resource outcomes. * * 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 member's care plan and collaborates with providers. * * Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Provides clinical consultation to physicians, professional staff and other teams members/supervisors to provide optimal quality patient care and effective operations. * * Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address medical needs. Reviews benefits options, researches community resources, trains/creates behavioral routines and enables members to be active participants in their own healthcare. * * Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services. * * Assists in obtaining benefits for members through community resources when benefits are exhausted or not available. * * Performs other duties as assigned. Additional Responsibilities: * In Hawaii, Registered Nurses may monitor the effect of medications, provide medication administration and education as needed under guidance of the Psychiatrist. The may provide education and clinical care for medical conditions and assists the Psychiatrist with member adherence to medications. * * Incumbents engaged in Florida's SMI program will manage members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Incumbents will travel extensively to member's inpatient bedside, home or other facility. Education/ Experience: Required 1+ year of experience in current case management as a licensed professional Required Other Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs Preferred Other Experience in a managed care environment Licenses and Certifications: A license in one of the following is required: Required Other A master's level independent or non-independent license is required OR an RN with a behavioral health background: Required Licensed Registered Nurse (RN) Required Licensed Clinical Social Worker (LCSW) Required Licensed Clinical Mental Health Counselor (LCMHC) Required Licensed Clinical Professional Counselor (LCPC) Required Licensed Clinical Marriage & Family Therapist (LCMFT) Required Licensed Clinical Psychologist (LCP) Required Licensed Master Social Work (LMSW) Required Certified Social Worker (C-SW) Required Acute Care Nurse Practitioner (APRN) (ACNP-BC) Required Other In New Jersey, one of the following is Required: Licensed Clinical Social Worker (LSW), Licensed Associate Counselor (LAC) or Registered Nurse (RN). Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) Preferred. -Experience with the seriously mentally ill population -Managed care exp preferred -Monroe County (field based/ will make home visits post COVID-19) -Mi

Keywords: Sunshine State Health Plan, Homestead , Behavioral Health Care Manager (LCSW), Other , Homestead, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Medical Software Sales Territory Manager (Mid-market, Strategic)
Description: At Modernizing Medicine, we look for passionate, innovative, creative Rock Stars Inc. Magazine Best Workplaces of 2020 Inc. 5000 Fastest-Growing Private Companies in America - 2015 - 2019 Marketing (more...)
Company: Modernizing Medicine, Inc.
Location: Boca Raton
Posted on: 11/25/2020

Grocery Shopper and Delivery Driver
Description: As a driver with Shipt, you are a bearer of good things from groceries, to gadgets, to home decor. You simply drive up to stores, pop your trunk to pick up orders, then deliver to your customers (more...)
Company: Shipt
Location: Homestead
Posted on: 11/25/2020

General Labor
Description: Are you looking for immediate work and that makes an immediate positive impact Are you the type of person who loves diversity in your work day We are now hiring for General Labor--with a real passion (more...)
Company: PeopleReady
Location: Boca Raton
Posted on: 11/25/2020


Class A CDL - Jet-Set Dedicated truck driver Walmart
Description: Jet-Set Dedicated truck drivers get a paid flight from their home location to haul freight then get a paid flight back for home time. Drive for 3 weeks then spend 5 days at home travel days home and (more...)
Company: Schneider
Location: Boca Raton
Posted on: 11/25/2020

Vertical Marketing Manager
Description: At Modernizing Medicine, we look for passionate, innovative, creative Rock Stars Inc. Magazine Best Workplaces of 2020 Inc. 5000 Fastest-Growing Private Companies in America - 2015 - 2019 Marketing (more...)
Company: Modernizing Medicine, Inc.
Location: Boca Raton
Posted on: 11/25/2020

Sales Development Representative
Description: At Modernizing Medicine, we look for passionate, innovative, creative Rock Stars Inc. Magazine Best Workplaces of 2020 Inc. 5000 Fastest-Growing Private Companies in America - 2015 - 2019 Best (more...)
Company: Modernizing Medicine, Inc.
Location: Boca Raton
Posted on: 11/25/2020

(JobLocation.city) US Postal Service
Description: GENERAL DUTIES AND RESPONSIBILITIESCases, delivers, and collects mail along a prescribed rural route using a vehicle
Company: Greenacres US Postal Service
Location: Delray Beach
Posted on: 11/25/2020

Immediately Hiring (Part Time): Want A Quick $300 Today?
Description: SurveyVoices.com/GetPaid1
Company: SurveyVoices
Location: Boynton Beach
Posted on: 11/25/2020

Sales Consultant
Description: 7113 - Boynton Beach - 2000 High Ridge Rd, Boynton Beach, Florida, 33426 CarMax, the way your career should be Driven by the desire to provide an iconic customer experience At CarMax, we ensure (more...)
Company: CarMax
Location: Boynton Beach
Posted on: 11/25/2020

Warehouse Worker - Package Handler
Description: Shift: Sunrise/Preload 4:00 AM - 9:30 AM Twilight 5:00 PM - 10:00 PM WAREHOUSE WORKER PACKAGE HANDLER Find out what you ll become as
Company: United Parcel Service
Location: Boynton Beach
Posted on: 11/25/2020

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Homestead RSS job feeds