[Hiring] Clinical Case Manager Behavioral Health @4004 Aetna Medicaid Administrators

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

This is a remote role, requiring 75% travel to meet in-person with members around our service delivery area, which includes Arlington and Southeast Dallas, Texas, as well as the surrounding areas.
• Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning.
• Coordinates direct provider collaboration and psycho-social wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.
• Conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution.
• Performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to appropriate clinical providers.
• Provides crisis follow-up to ensure members are receiving appropriate treatment/services.
• Consults with supervisors, Medical Directors, and other programs to overcome barriers to meeting goals and objectives.
• Identifies and escalates quality of care issues through established channels.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes.
• Develops and monitors established plans of care in collaboration with the member and their care team.
• Completes face-to-face visits and monthly phone contact with members, utilizing various treatment modalities and interventions.

Qualifications
• Direct clinical practice experience post-master's degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility.
• Minimum of a Master's degree in Behavioral/Mental Health or related field.
• Unencumbered Behavioral Health clinical license in the state where they work (LCSW, LPC, LMSW, LMFT).

Requirements
• 75% travel required to meet in person with members in Tarrant or Dallas counties and surrounding areas.
• Must possess reliable transportation and be willing and able to travel up to 75% of the time.
• Mileage is reimbursed per company expense reimbursement policy.

Benefits
• Affordable medical plan options.
• 401(k) plan (including matching company contributions).
• Employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation, and weight management programs.
• Confidential counseling and financial coaching.
• Paid time off, flexible work schedules, family leave, and dependent care resources.
• Colleague assistance programs, tuition assistance, and retiree medical access.

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