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HealthCare Support

New Job! 
 
HCS Job Title:  Behavioral Health Case Manager - LCSW / LMSW / LMFT / LMHC / LPC 
Company Job Title:  Clinical - Care Manager  
 
Working with Hiring Manager Ke'Tina Black and Staffing Specialist Brittney Hooper 
 
Req: 174040-1  
 
No Griffin 
 
Workday Job Code:  J01007 
 
Vaccination NOT REQUIRED 
# of Openings:  1 pos, 2 sub spots 
 
If Contract, Length of Assignment:  RTH 
MU or BR:  Max bill rate 65 
Compensation Notes:  $38 to $43 an hour 
Location:  Field based in Toledo area - can be anywhere in Lucas, Fulton, Wood or Ottawa Counties. Will be in the field about 50-60% of the time, remote for documentation the other time. Will need to travel to Columbus for team meetings about once per year. 
Shift: M-F 8-5 
Training: Monday-Friday 8am-5pm, 4 weeks of classroom and 1 on 1 style training with cameras ON and no time off during training 
Start Date: 3/16 or ASAP 
Interview Times/Interviewer: Virtual with Ke'Tina Black 
Minimum Education/Licensures/Qualifications: 
Must include city and state on resume
<ul>
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">No time off during first 3 months (will ask this during interview)
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Clear and active Ohio LCSW, LMSW (LSW with Masters degree), LMFT, LMHC, OR LPC License
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">2+ years of behavioral health experience with license listed above required with case management and/or home health (don’t want to see just hospital experience) - please specify caseload, which types of assessments they have experience administering and examples of conditions their patients had
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Computer literacy assessment required
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Good job tenure - please specify if any positions were contract
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Medicaid Waiver experience HIGHLY preferred, will move faster with candidates that have it: <a href="https://medicaid.ohio.gov/families-and-individuals/citizen-programs-and-initiatives/hcbs/waivers/" style="color: rgb(5,99,193);text-decoration: underline;">https://medicaid.ohio.gov/families-and-individuals/citizen-programs-and-initiatives/hcbs/waivers/</a> 
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Technology experience – please list EMRs and documentation systems they have experience with
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Masters degree
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt 0.5in;">Clear and active drivers license, reliable transportation and auto insurance
</ul>
Soft Skills Required:

<ul>
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Self-starter and critical thinker
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt 0.5in;">Great time-management and prioritization 
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt 0.5in;">Flexible and adaptable to change
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt 0.5in;">Works well independently and with a team
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt 0.5in;">Strong communication skills
</ul>
 
Types of Candidates to Submit to Sales Rep: 
Best Candidate: Licensed Behavioral Health Case Manager with 2+ years working with Medicaid waiver population from MCO setting 
Second Best Candidate: Licensed Behavioral Health Case Manager with 2+ years working with Medicaid waiver population in home health setting 
 
About the Role: 
Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families 
 
Everyone works together to ensure our members get the care and services they need to remain as independent as possible 
 
<ul>
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Log on laptop top by 8am, review emails, tasks, and voicemails and respond to any urgent needs. Review calendar for possible meetings and/or scheduled visits. Staff typically arrange their days with the expectation of 5-7 visits required weekly. Documentation must be completed within 24 hours. 
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 0.0in 0.5in;">Performance expectations: 5-7 visits weekly, ensuring documentation is completed within 24 hours. Meeting required turn-round times for processes, and completing trainings timely.
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt 0.5in;">Working with amazing coworkers and leadership, while also caring for those individuals in need. Staff at Buckeye have worked here for years, there isn’t a high turnover rate.
</ul>
 
Day to Day Duties: 
Two different types of case loads (one working with over 60 waiver population; other will be working with the under 60 population)

<ul>
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Field and telephonic visits with members in our waiver population weekly- covering Montgomery County Ohio
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Managing waiver services and maintaining HSW for our members
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Working through tasks lists assigned and meeting all auditing expectations for members in a caseload
</ul>
 
Describe the performance expectations/metrics for this individual and their team:

<ul>
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Weekly productivity metric
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">No overdue tasks
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">At a minimum -5 field or telephonic visits weekly based on member acuity
</ul>
 
Tell me about what their first day looks like: 
Working with Supervisor to make sure they have access to all systems and getting an overview of the job 
 
What previous job titles or background work will in this role? 
Case Manager experience preferred 
 
Job Profile Summary: 
 
Position Purpose: 
Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder. 
 
Education/Experience: 
Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience. 
 
 
License/Certification: 
Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required 
 
For Illinois Youth Care plan only: Graduate degree and independently licensed behavioral health clinician (e.g. LCSW, LCPC, PsyD) in Illinois or Bachelor’s Degree and IL RN licensure. Must reside in IL required 
 
For NJ Health Plan Only: Requires a Master's degree in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required 
 
For Sunshine Health (FL) Only: Employees supporting Florida's Children’s Medical Services must Hold a Master’s degree in social work or related field and have one year of related professional pediatric care experience. May require up to 80% local travel required 
 
Responsibilities: 
Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs 
 
May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources 
 
Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders 
 
Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members 
 
Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs 
 
Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services 
 
Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators 
 
Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs 
 
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner 
Performs other duties as assigned. 
 
Complies with all policies and standards.

Behavioral Health Case Manager

$38 - $43/hr

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