Manager of Behavioral Health - Indiana SMI Case Management

Overview

Work location:
Virtual
. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Work location:
Virtual
. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Independent Indiana licensure and residency in Indiana is required for this role.

The Manager of Behavioral Health – Indiana SMI Case Management is responsible for overseeing a team of clinicians and non-licensed staff supporting the needs of our Indiana members.

• Manages a team of licensed clinicians and non-clinical support staff engaged in telephonic outreach to members.
• Oversees staff assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs.
• Monitors and evaluates effectiveness of care plans.
• Manages case consultation and education to customers and internal staff for efficient utilization of BH services.
• Supports process improvement and quality assurance activities.
• Ensures adherence to appropriate departmental policies, care management best practices, relevant clinical standards, and member contracts.
• Facilitates collaboration across departments to ensure cost effective and quality member care.
• Serves as a resource for medical management programs. Identifies and recommends revisions to policies/procedures.
• Ensures staff adheres to accreditation guidelines.
• Supports quality improvement activities.
• May assist with implementation of cost of care initiatives.
• May attend meetings to review UM and/or CM process and discuss facility issues.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

• Requires current, active, unrestricted license such as RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC, LMSW, LBA (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States.
• For Government business only: LAPC, and LAMFT are also acceptable if allowed by applicable state laws and any other state or federal requirements that may apply; provided that the manager's director has one of the types of licensures specified in the preceding sentence. Licensure is a requirement for this position. However, for states that do not require licensure a Board-Certified Behavioral Analyst (BCBA) is also acceptable if all the following criteria are met;
  
  performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision.

• Prior experience in Managed Care setting required.
• MS in social work, counseling, psychology or related behavioral health field or a degree in nursing and minimum of 5 years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment and extensive experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders; or any combination of education and experience, which would provide an equivalent background.

• Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred.
• Certification as a Case Manager is preferred.
• Experience working in physical…