Behavioral Case Manager in Milwaukee, WI at NurseCore

Date Posted: 8/13/2019

Job Snapshot

Job Description

Overview

Behavioral Case Manager

Are you motivated by the goal of helping people to be the best that they can be? Do you enjoy going out into the community and meeting and working with people in their homes? Are you a LCSW or LPC? If so, this position is for you and will give you the opportunity to see the total environment each member faces, allowing you to do your best work for them.

Responsibilities
  • Function as a Case Manager to work with members identified as high risk to achieve empowerment and improved quality of life for both behavioral and physical health issues.
  • Assess members’ current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan and monitor quality of care.
  • Collaborate with both medical and behavioral providers to ensure optimal care for members.
  • Empower patients to help them improve their quality of life and ensure an integrated approach to address complex issues.
  • Understand and comply with NCQA guidelines and HEDIS measures.
  • Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.
Qualifications
  • Master’s degree in behavioral health and an unrestricted license as a LCSW or LPC.
  • 3+ years of case and/or utilization management experience.
  • Experience in psychiatric and medical health care settings.
  • Ability to perform member visits in homes and facilities.

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