Case Manager I

Job Description :
M-F 8-5 MST
Qualified candidates must live in the state of NEW MEXICO.
The candidate needs to reside in Dona Ana county please in New Mexico
Please clearly indicate where your candidate is located/ county on resumes.
If licensed, must be licensed for NEW MEXICO.- RN is not required.

REQUIRED EDUCATION:
Any of the following:
Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related)

REQUIRED EXPERIENCE:
1-2 years in case management, disease management, managed care or medical or behavioral health settings.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.

STATE SPECIFIC REQUIREMENTS:
Bachelor's Degree or 1 year of Care Coordination a minimum of one year of experience

PREFERRED EXPERIENCE:
1-2 years in case management, disease management, managed care or medical or behavioral health settings.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Any of the following:
Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).

KNOWLEDGE/SKILLS/ABILITIES
Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
Conducts telephonic, face-to-face or home visits as required.
Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member case load for regular outreach and management.
Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Client members.
May implement specific Client wellness programs i.e. asthma and depression disease management.
Facilitates interdisciplinary care team meetings and informal ICT collaboration.
Uses motivational interviewing and Client clinical guideposts to educate, support and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
Collaborates with RN case managers/supervisors as needed or required
Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed

1-2 years
STATE SPECIFIC REQUIREMENTS:
Bachelor's Degree or 1 year of Care Coordination a minimum of one year of experience

PREFERRED EXPERIENCE:
1-2 years in case management, disease management, managed care or medical or behavioral health settings.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Any of the following:
Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).