• Job Description

  Req#: 26-02899
  
  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.
  
  EEO:
  
  “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
  
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  Story Behind the Need
  What is the purpose of this team? Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?	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 This is part of a larger hiring initiative of 30 staff
  Typical Day in the Role
  Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are performance expectations/metrics? What makes this role unique?	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. Performance expectations: 5-7 visits weekly, ensuring documentation is completed within 24 hours. Meeting required turn-round times for processes, and completing trainings timely. 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.
  Candidate Requirements
  Education/Certification	Required: Master's Behavioral Health Professional	Preferred: 2-4 years of related experience
  Licensure	Required: LCSW, LMSW, LMFT, LMHC, LPC	Preferred: 2-4 years of related experience
  Years of experience required: 2-4 years of related experience in case management or home health. Discharge planning experience. BH experience. Disqualifiers: Inability to work independently, manage change well, position longevity (state if contract role), Additional qualities to look for: Someone who works well independently, able to travel occasionally for meetings/gatherings, personable, strong communication skills. Someone who can think critically, be flexible, open to change, and can also work well on a team.
  Top 3 must-have hard skills stack-ranked by importance	1	Computer Literate (knowledge of Microsoft)
  2	Critical Thinker
  3	Works well independently
  Candidate Review & Selection
  Shortlisting process Candidate review & selection Interview information Onboard process and expectations	Projected Manager Candidate Review Date:	24-48 hours of qual
  Type of Interviews:	Teams CAMERA ON
  Required Testing or Assessment (by Vendor):	Agencies must perform computer literacy test - Excel, Word, Team, Outlook, One note, One Drive, Powerpoint, Explorer, Chrome
  
  

• About the company

  Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.

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