CeresRecruiter
the smart solution for Ceres jobs

Behavioral Case Manager

Company: Centene Corporation
Location: San Rafael
Posted on: December 7, 2018

Job Description:

Description:Position Purpose\: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members-- current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the Integrated Case Management functions. Collaborate with both medical and behavioral providers to ensure optimal care for members. Work telephonically with patients identified as high risk, for both behavioral and physical health issues, and their providers to identify needs, set goals and implement action steps towards achieving goals. Empower patients to help them improve their quality of life and ensure an integrated approach to address complex issues. Understand and comply with NCQA guidelines and HEDIS measures.

  • Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.
    Qualification:Education/Experience\: Master--s degree in behavioral health and an unrestricted license as a LCSW, LMFT or LPC, or a PhD, PsyD or RN. 3+ years of case and/or utilization management experience. Experience in psychiatric and medical health care settings. Working knowledge of mental health community resources. License/Certification\: Unrestricted license as a LCSW, LMHC, LMSW LMFT, LPC, PhD, PsyD or RN license in applicable state.For the IDD populations\:Education/Experience\: Master--s degree in behavioral health and an unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD, RN, ABA, or BCBA. ABA or BCBA highly preferred. 3+ years of case and/or utilization management experience. Experience in psychiatric and medical health care settings. Working knowledge of mental health community resources. License/Certification\: Unrestricted license as a LCSW, LMHC, LMSW LMFT, LPC, PhD, PsyD, RN, ABA or BCBA license in applicable state. ABA or BCBA highly preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    Keywords: Centene Corporation, Ceres , Behavioral Case Manager, Executive , San Rafael, California

    Click here to apply!

    Didn't find what you're looking for? Search again!

    I'm looking for
    in category
    within


  • Other Executive Jobs


    Physical Therapist Clinic Therapy Director Outpatient Orthopedics San Jose, CA Full Time
    Description: Overview As a Center Therapy Director with Concentra, you will have the opportunity to positively shape health care in your community. Working in concert with medical
    Company: Concentra
    Location: San Jose
    Posted on: 12/10/2018

    Funeral Director (Family Service Director)
    Description: Location: Oakland, California, 94601, United StatesPosted: 10/06/2018Position Title: Funeral Director Family Service Director Company Name: Catholic Funeral and Cemetery Servics CFCS Sector: OtherJob (more...)
    Company: Catholic Funeral and Cemetery Servics (CFCS)
    Location: Oakland
    Posted on: 12/10/2018

    Sales Operations Manager, Oakland-based
    Description: HI, WERE BROADLY Our product enables local businesses to deliver a five-star customer experience. People have a better experience when the business is responsive, engaged, and customer-centric. By helping (more...)
    Company: Broadly
    Location: Oakland
    Posted on: 12/10/2018


    Safety Scientist, Safety Surveillance and Risk Management
    Description: Pharmacyclics is committed to the development and commercialization of novel therapies intended to improve the quality and duration of life and to resolve serious unmet medical needs for cancer patients. (more...)
    Company: Pharmacyclics, LLC
    Location: Sunnyvale
    Posted on: 12/10/2018

    Manager Clinical Quality Risk Management
    Description: This respected medical center, in the heart of the Central California Valley, is actively searching for a Manager to oversee Clinical and Operational Quality and Risk Management. Join this dedicated team (more...)
    Company: Nurse Management
    Location: Manteca
    Posted on: 12/10/2018

    Agriculture - Western Territory Manager
    Description: Position: Agriculture - Western Territory Manager br br Location: Fresno area - Central Valley, California br br -- br br Well established company in the Precision Agriculture, is commercializing (more...)
    Company: Job Juncture
    Location: Fresno
    Posted on: 12/10/2018

    Film & Media Program Manager
    Description: POSITION SUMMARY The Film Media Program Manager provides overall management of the assigned Film Media Program MadeIt including direction, supervision and management of staff and participants while (more...)
    Company: Options for All Inc.
    Location: San Jose
    Posted on: 12/10/2018

    Construction Manager / Foreman / Supervisor
    Description: Construction Manager/Foreman/Supervisor Bay Area About GRID Alternatives: GRID Alternatives is a national leader in making clean, affordable solar power and solar jobs accessible to low-income communities (more...)
    Company: GRID Alternatives
    Location: Oakland
    Posted on: 12/10/2018

    Territory Manager, Full Line - Bay Area
    Description: Davol Inc./C.R. Bard has joined BD. BD Interventional s Surgery worldwide business unit, located in Rhode Island, is a leading developer, manufacturer, and marketer of innovative, life-enhancing medical (more...)
    Company: BD (Becton, Dickinson and Company)
    Location: San Jose
    Posted on: 12/10/2018

    Technical Project Manager (Strong Data Warehouse Background
    Description: Note: Please send your resume to : Note:Please call Amit: : Ext :3852 Position :Technical Project Manager Strong Data Warehouse Background Location: San Jose CAContract or Full Time Technical Project (more...)
    Company: Synergy Technologies, LLC
    Location: San Jose
    Posted on: 12/10/2018

    Log In or Create An Account

    Get the latest California jobs by following @recnetCA on Twitter!

    Ceres RSS job feeds