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  • Columbia, MD 21046

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Behavioral Health Care Coordinator

Magellan Health Services • Columbia, MD

Posted 26 days ago

Job Snapshot

Full-Time
Travel - None
Healthcare - Health Services
Health Care
6

Applicants

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Job Description

Provides care coordination to members with behavioral health conditions identified and assessed as requiring interventions and oversight including multiple clinical, social and community resources. This role promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction.

ESSENTIAL FUNCTIONS:

• Conducts in depth health risk assessment and/or comprehensive needs assessment which
includes, but is not limited to psycho-social, physical, medical, behavioral, environmental,
and financial parameters.
• Communicates and develops the treatment plan, and serves as a point of contact to ensure
services are rendered appropriately, (i.e. during transition to home care, back up plans,
community based services).
• Implements, coordinates, and monitors strategies for members and families to improve
health and quality of life outcomes. Develops, documents and implements plan which
provides appropriate resources to address social, physical, mental, emotional, spiritual and
supportive needs. Acts as an advocate for member’s care needs by identifying and
addressing gaps in care. Performs ongoing monitoring of the plan of care to evaluate
effectiveness. Measures the effectiveness of interventions as identified in the members
care plan.
• Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health
and quality of life outcomes; works with members to adjust plan of care, when necessary.
• Educates providers, supporting staff, members and families regarding care coordination role
and health strategies with a focus on member-focused approach to care. Facilitates a team
approach to the coordination and cost effective delivery to quality care and services.
• Facilitates a team approach to ensure appropriate interventions, cost effective delivery of
quality care and services across the continuum.
• Provides assistance to members with questions and concerns regarding care, providers or
delivery system.
• Maintains professional relationship with external stakeholders, such as inpatient, outpatient
and community resources.
• Generates reports in accordance with care coordination goals. Complies with URAC and
NCQA standards for Case Management services. Assists with orientation and mentoring of
new team members as appropriate. Other duties as assigned.

MINIMUM REQUIREMENTS:

• Licensure required; LCSW-C or LCMFT or LCPC in Maryland, DC, or Virginia and ability to
meet Magellan credentialing requirements for independent professional practice (Masters
level licensed behavioral health professional).
• Master’s degree in Mental Health required; education can be in one or more of the following
areas: Social Work, Psychology, Nursing or Counseling.
• Minimum 5 years post masters clinical behavioral health/psychiatric experience required.
• Effective application of best clinical practices.
• Solid understanding of behavioral health diagnoses.
• Must have proficient computer skills, including ability to converse and type at a
conversational pace.
• Strong organization, time management and verbal and written communication skills.
• Knowledge of utilization management procedures, mental health and substance abuse
community resources and providers.
• Knowledge and experience in working with case management and in facilities, with local
care coordinators or with special populations.
• Knowledge of DSM V or most current diagnostic edition.
• Ability to analyze specific utilization problems, plan and implement solutions that directly
influence quality of care.

*Remote opportunities available upon successful completion of training for candidates in the Arlington and Loudon Virginia Counties and Washington, DC area and the ability to obtain a MD licensure.

General Job Information

 

Title

Behavioral Health Care Coordinator

Grade

23

Job Family

Care Management

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

6/14/2017

Date Requisition Created

6/14/2017

Minimum Qualifications

Education

Masters: Mental Health Services (Required)

License and Certifications - Required

LCADC - Licensed Clinical Alcohol and Drug Counselor - Care Mgmt, LCMFT - Licensed Clinical Marriage and Family Therapist - Care Mgmt, LCPC - Licensed Clinical Professional Counselor - Care Mgmt, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt

License and Certifications - Preferred

Other Job Requirements


Responsibilities

Licensure is required for this position, specifically current license as a Masters or Doctoral-level behavioral health practitioner that meets State, Commonwealth or customer-specific requirements. Licensure may also include one or more of the following: LCSW-C, LCSW, LMSW, LCPC, LCADC or LCMFT.
Ability to meet Magellan credentialing requirements for independent professional practice (Masters level licensed behavioral health professional).
Masters degree in Mental Health required; education can be in one or more of the following areas: Social Work, Psychology or Counseling.
Minimum 5 years post masters clinical behavioral health/psychiatric nursing experience required.
Effective application of best clinical practices.
Solid understanding of behavioral health diagnoses.
Must have proficient computer skills, including ability to converse and type at a conversational pace.
Strong organization, time management and verbal and written communication skills.
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
Knowledge and experience in working with case management and in facilities, with local care coordinators or with special populations.
Knowledge of DSM V or most current diagnostic edition.
Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

Competencies

Language(s)

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled

Job ID: R00000013706
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