Behavioral Health Care Manager
Position Summary/Position
Under the direction of the Behavioral Health and Care Management Leadership, this position provides high quality, effective care management to members. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively with members of their own team, members and families, and other professionals. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the Behavioral Health and Care management departments. This position, like all positions within the Behavioral Health Department, is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within and in the community.
Major Functions (Duties and Responsibilities)
1. Skillfully develop therapeutic alliances with members and utilize evidenced based communication skills in assisting members.
2. Establish and maintain effective goodwill relationships with coworkers, supervisors and other colleagues, and collaboratively work with team members.
3. Model the highest ethical behavior in care for members, as well as in relationships with co-workers, supervisors, and colleagues in the community.
4. Advocate for members to receive the highest quality care, in a timely manner, within network.
5. Coordinate with internal and external health partners to support Members’ comprehensive care needs.
6. Provide effective Care Management for members, including care coordination, linkage to resources, support in transitions of care, facilitating member self-efficacy and self-management, and all other activities associated with high quality, evidenced-based care management.
7. Engage and collaborate with staff outside the BH department, or with those outside BH discipline, to provide integrated care to members.
8. Responsible for assisting Members with care coordination needs, including, but not limited to the following:
a. Conduct comprehensive, holistic assessment according to the scope of clinician-both telephonically as well as in person.
b. Assimilate assessment information into an individualized care plan (ICP).
c. Communicate ICP with Member, approved family or caregiver and other Members of the care team.
d. Participate in inter/transdisciplinary care team meetings to share information, update and inform care plan.
e. Coordinate with internal and external health partners to support Members’ comprehensive care needs.
f. Participate and lead (as necessary) care transition plan responsibilities.
9. Engage in proactive, member-centered utilization and quality review of Behavioral Health and Care Management services by members.
10. Provide crisis intervention to individuals, as well as providing support and clinical guidance to others who engage in this work.
11. Participation in Behavioral Health and Care Management team and department meetings.
12. Model continuous quality improvement philosophy and engage in quality improvement initiatives and projects.
13. Provide clinical trainings and other learning and development activities, within areas of expertise, inside and outside the behavioral health department.
14. Model supportive and collaborative relationships with members, co-workers, and community relations.
15. Participate in other committees as needed, or as directed by the BH supervisors, managers or Directors.
16. Engage in all employee training and comply with all policies.
• Clinical Experience with providing crisis intervention, as well as suicide intervention, and postvention
• Assist crisis team to successfully address calls from Members in crisis, provide clinical support to assist with de-escalation, stabilization, and development of a plan to access needed services.
Experience Qualifications
Minimum of three (3) years of experience performing or facilitating Behavioral Health services. Experience working successfully within a team and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory.
Preferred Experience
Behavioral Health services experience in a health clinic psychiatric hospital medical facility, or health care clinic strongly preferred. Experience in clinical services, both mental health and substance use preferred. Experience in motivational interviewing and/or other evidenced based communication strategies preferred.
Education Qualifications
Master’s degree from an accredited institution required.
Preferred Education
Professional Certification
Professional Licenses
Possession of an active, unrestricted, and unencumbered license in a Social Services related field required.
(License in Social Work (LCSW) or Marriage and Family (LMFT) preferred).
Drivers License Required
Yes, must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on insurance standards of no more than three (3) points.
Knowledge Requirement
Familiarity with Managed Care and discharge planning is required. Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies. Understanding of and sensitivity to multi-cultural communities. Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management. Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both.
Knowledge of whole health and integrated principles and practices is preferred.
Skills Requirement
Bilingual (English/Spanish) preferred.
Highly skilled interpersonally, with excellent relationship skills. Highly skilled in interpersonal communication, including resolving conflict with co-workers. Skillful in informally and formally sharing expertise. Must have skills and resilience to tolerate a moderate level of change and development around new models of care and care management practices. Proficient in the use of computer software to include but not
limited to: (e.g. Microsoft Word and Excel, Power Point).
Abilities Requirement
Able to sufficiently engage members and providers on the phone, including developing effective relationships that are phone-based. Must be able to work as a member of a team, executing job duties and making skillful decisions within one’s scope.
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