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Job Requirements of Case Manager I:
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Employment Type:
Contractor
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Location:
Albuquerque, NM (Onsite)
Do you meet the requirements for this job?
Case Manager I
Careers Integrated Resources Inc
Albuquerque, NM (Onsite)
Contractor
Job Title: Case Manager I
Location: Remote + Field Visit (Albuquerque or Las Cruces)
Duration: 3 Months+ (Possible Extension)
Schedule: 8 Am – 5 Pm Mon - Fri (MST)
Job Description:
Is this a temp to hire position? It could be in the future but not right now.
Required Licensure / Education:
Required Years of Experience : 3 years
Must have skills:
Day to Day Responsibilities:
Location: Remote + Field Visit (Albuquerque or Las Cruces)
Duration: 3 Months+ (Possible Extension)
Schedule: 8 Am – 5 Pm Mon - Fri (MST)
Job Description:
Is this a temp to hire position? It could be in the future but not right now.
Required Licensure / Education:
- The care management personnel must hold one of the licenses (or relevant state equivalent) below to participate in the initiative:
- Clinical Social Workers (ex. LCSW, LISCW)
- Professional Counsellors/Licensed Mental Health Counsellors (ex. LPC/LPCC, LMHC)
- Marriage and Family Therapists (LMFT)
- Certified Alcohol and Drug Counsellor (CADC)
- Substance Use Disorder Professional (SUDP)
- These staff should have unrestricted license in the state in which they are working as a care manager and a National Provider Identifier.
Required Years of Experience : 3 years
- The utilization of specific care management staff to conduct visits (telephonic or face-to-face to satisfy the requirements of multiple Behavioral health follow-up measures (FUH, FUM, FUI, and IET).
- Measures In Product:
- FUH - Follow up After Hospitalization for Mental Illness
- FUM - Follow up After Emergency Department Visit for Mental Illness
- FUI - Follow up After High Intensity Care for Substance Disorder
- IET-Initiation and Engagement of Alcohol and other Drug Abuse or Dependence Treatment
Must have skills:
- Active, unrestricted Behavioral health clinical license in the state of practice (LCSW/LISW, LPC/LPCC/LMHC, LMFT, CADC, SUDP, or state equivalent) • National Provider Identifier (NPI) required
- Minimum of 3 years of experience in Behavioral health, substance use disorder treatment, care management, or a related clinical setting
- Demonstrated Behavioral health care management experience, including transitional support following hospitalizations or emergency department visits.
- Strong working knowledge of Behavioral health quality and HEDIS measures, including FUH, FUM, FUI, and IE
- Proven ability to conduct telephonic and/or face-to-face outreach with members to support follow-up care • Experience scheduling and coordinating appointments with Behavioral health providers or internal care teams. Ability to utilize established care management programs to provide ongoing member support
- Excellent clinical documentation skills, with the ability to accurately document member interactions in accordance with job aides and compliance requirements.
- Strong communication and collaboration skills, including the ability to work with leadership and interdisciplinary teams
- Demonstrated ability to handle and protect PHI in compliance with healthcare privacy and security standards
Day to Day Responsibilities:
- CM staff responsibilities include Reaching out to members identified for transitional support.
- Scheduling appointments with members’ Behavioral health treatment providers or Care Connections.
- Utilizing existing care management programs to provide ongoing member support.
- Documenting all member interactions, ensuring compliance with the job aide to contribute to HEDIS goals.
- Communicating with local leadership regarding any questions or concerns about the procedures.
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