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Job Requirements

Knowledge, Skills, and Abilities: 

• Degree in Social Work, Counseling, Psychology or Nursing from an accredited degree program (preferred) or minimum of five years of experience in behavioral health case management

• Minimum of 3 years of experience in clinical setting required

• Experience in crisis intervention and treatment of behavioral health disorders and/or substance abuse 

• Knowledge of community resources

• Strong problem solving and analytical skills

• Ability to use Microsoft Office Suite (Excel, Word, Power Point, etc.) 

• Highly organized and efficient with strong attention to detail

• Excellent verbal and written communication skills

• Ability to work under limited supervision and make sound decisions based on established policies and procedures

• Ability to interact effectively with all levels of staff


Supervisory Responsibilities:

• This position has no supervisory responsibilities


Supervision Received: 

• Works under general supervision of the Manager of Integrated Care     


Working Conditions:

• This position operates in a professional office/clinic environment 

• This is a full-time position (40 hours/week)

• Overtime may be required 

• Some travel required


Physical Requirements: 

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to satisfactorily perform these essential functions without causing an undue hardship for the employer.


While performing the duties of this job, the employee is required to remain in a stationary position for long periods of time and must frequently move about the office. The employee must constantly operate a computer and other office equipment such as phones, keyboards, printers, and copiers. The employee is regularly required to communicate with others via phone, email, etc. Occasionally, the employee is required to move up to 10 pounds and may, at times, be required to move up to 50 pounds. 


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Behavioral Health Case Manager (Social Worker, Counselor, LPN, RN)

Vantage Health Plan, Inc. Monroe Full-Time
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At Vantage Health Plan, Inc., we specialize in taking care of people: our members, our patients, and our employees. We offer competitive salaries and great benefits! Benefits include: Health, Dental, Life, Accidental Death and Dismemberment, Long Term Disability, Paid Time Off, and 401(k).


Job Summary: The Behavioral Health Case Manager is responsible for assessing Medicare, Commercial, and Exchange members by evaluating behavioral health needs and requirements, collaborating with the member, care providers, and multi-disciplinary team to manage behavioral health and psycho-social health issues.

 

Essential Duties & Responsibilities:

Proactive telephonic outreach to eligible Vantage Health Plan members and/or AHG clinic patients to engage participation in behavioral health care management programs offered by the Department

• Assess members with behavioral health issues to evaluate current health status, history of behavioral health treatment, resource needs, and compliance

• Actively participate in all enrollment activities

• Perform general case management and follow-up of members who have a need but do not meet criteria for the behavioral health care management programs

• Complete psychological, emotional and environmental assessments, for the purpose of providing appropriate, timely interventions to ensure provision of optimal care

• Work collaboratively with other members of the Vantage Cares Interdisciplinary team-to include: Vantage Case Managers, Social Services, Field Care Managers, Transitional Care, and the members’ Provider(s)

• Monitor member for compliance with medications and appointments

• Educate family and caregivers on behavioral health disease process

• Guide members and their families toward and facilitate interaction with resources appropriate for the care and well being of members

• Coordinate care with PCP, psychiatrist, therapist, home health provider, community resources, etc. 

• Track member’s progress including frequency of hospitalizations and admissions to outpatient services

• Understand clinical program design, implementation, documentation and reporting

• Provide behavioral screening and intervention services at Affinity clinics as needed and assist with psychiatric crisis triage as appropriate

• Comply with performance and reporting standards as defined by Vantage Health Plan

• Additional responsibilities as deemed appropriate by Health Management leadership


Marginal Duties:

Assists the Integrated Care Management team as needed with other duties in the role and is flexible to new ideas

• Able to adapt and or adopt quality improvement policies and procedures for the department.

• Actively serves on the Case Management Team and attends Case Management Team meetings

• Able to work in several computer program systems, and documents electronically.

• Able to work independently and interdepartmentally to obtain departmental and organizational goals

• Other duties as assigned


Knowledge, Skills, and Abilities: 

• Degree in Social Work, Counseling, Psychology or Nursing from an accredited degree program (preferred) or minimum of five years of experience in behavioral health case management

• Minimum of 3 years of experience in clinical setting required

• Experience in crisis intervention and treatment of behavioral health disorders and/or substance abuse 

• Knowledge of community resources

• Strong problem solving and analytical skills

• Ability to use Microsoft Office Suite (Excel, Word, Power Point, etc.) 

• Highly organized and efficient with strong attention to detail

• Excellent verbal and written communication skills

• Ability to work under limited supervision and make sound decisions based on established policies and procedures

• Ability to interact effectively with all levels of staff


Supervisory Responsibilities:

• This position has no supervisory responsibilities


Supervision Received: 

• Works under general supervision of the Manager of Integrated Care     


Working Conditions:

• This position operates in a professional office/clinic environment 

• This is a full-time position (40 hours/week)

• Overtime may be required 

• Some travel required


Physical Requirements: 

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to satisfactorily perform these essential functions without causing an undue hardship for the employer.


While performing the duties of this job, the employee is required to remain in a stationary position for long periods of time and must frequently move about the office. The employee must constantly operate a computer and other office equipment such as phones, keyboards, printers, and copiers. The employee is regularly required to communicate with others via phone, email, etc. Occasionally, the employee is required to move up to 10 pounds and may, at times, be required to move up to 50 pounds. 


Skills required

Licensed Clinical Social Worker (Lcsw)
Behavioral Health
Case Management
Social Work
Utilization Management
Clinical Supervision
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In 1994, Vantage Health Plan, Inc., was formed by physicians who wanted to provide quality healthcare coverage through the teamwork of physicians and their patients. That commitment to quality and care is still inherent in Vantage today. Vantage’s membership has grown steadily over the past 20 years, now providing health insurance coverage for nearly 40,000 members and contracting with over 15,000 healthcare providers. Vantage prides itself in offering friendly, excellent customer service and quality healthcare products.


Vantage continues the belief that health insurance should be affordable and customer service should be local and compassionate. With the corporate offices in Monroe, Louisiana, Vantage has expanded with office locations in Baton Rouge, Shreveport, Oak Grove, Mangham, and more!


With products including Individual, Medicare Advantage, and plans for Louisiana State employees with the Office of Group Benefits, Vantage has health insurance for everyone!


Vantage is a visible example of commitment to the lives of our members and community. Vantage hosts tailgating parties for the community during several events including the Warhawk Triathlon and Dragon Boat Races. Employees also volunteer in the Susan G. Komen Race for the Cure, Alzheimer’s Association Memory Walk, Ouachita Council on Aging’s Shindig, Party on the Rooftop, and the American Heart Association’s Go Red event. Vantage’s co-ed softball team also participates every year in the community league.


Nothing, however, is more evident of Vantage’s commitment than the ongoing beautification efforts of downtown Monroe. In addition to completely renovating every floor of the Vantage Tower (formerly Ouachita National Bank), Vantage also purchased the former Central Bank Building, located at 300 DeSiard Street. Along with the renovations to the Vantage Central Building, the new Central Park was added as a symbol of the rebirth and renewal of downtown Monroe. The park offers employees a place for relaxation and the citizens of Monroe something to admire. In early 2017, Vantage opened the Vantage State Building in downtown Monroe. This building, built in 1925, began as the Virginia Hotel and became the State Office Building. The six-story office building houses Vantage’s Marketing and Member Services departments, a beautifully renovated lobby and mezzanine, the “Rooftop Garden” for meetings and private events, and two large retail spaces on the ground floor.


Currently, Vantage owns a total of seven buildings and five parking lots downtown.

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